用失效模式和影响分析法规范药品供应链协同服务平台在门诊药房领药中的应用

陈燕红; 王井霞; 陶霞; 陈万生; 邬蓉

doi:10.3969/j.issn.1006-0111.2019.01.020

用失效模式和影响分析法规范药品供应链协同服务平台在门诊药房领药中的应用

doi: 10.3969/j.issn.1006-0111.2019.01.020

海军军医大学附属长征医院药材科, 上海 200003

基金项目: 临床合理用药监管流程的创新与服务探索（2016-YY-01-09）；上海市临床药学重点专科建设项目（2016-40044-002）；上海市卫生计生系统重要薄弱学科建设项目（2016ZB0303）

Application of FMEA regulated drug supply chain collaborative service platform for drug-receiving in outpatient pharmacy

Changzheng Hospital Affiliated to Naval Medical University, Shanghai 200003, China

摘要: 目的强化门诊药房运用药品供应链协同服务平台领药的规范化管理，确保医院药品供应，合理降低药品库存积压，提升门诊药房领药管理能力。方法利用失效模式和影响分析（FMEA）法及时发现药品供应链协同服务平台中领药系统潜在的风险，并制定相应改进措施。结果通过对供应链服务平台领药流程的改进，使领药差错从137次下降为32次，风险降低比率达到76.64%，显著地降低了领药错误的风险。结论通过FMEA法，前瞻性地发现领药系统的漏洞和隐患，通过不断研究改进措施，切实提高药品供应链协同服务平台的领药功能，使门诊药房领药更加合理与准确。
- 失效模式和影响分析 /
- 门诊药房 /
- 供应链协同服务平台
Abstract: Objective To strengthen the system of drug supply chain collaborative service platform in drug supply, decrease drug inventory backlog, and improve the outpatient pharmacy management capacity in outpatient pharmacy. Methods Failure mode and effects analysis(FMEA) method was used to discover the potential risks in the drug supply chain collaborative service platform and formulate the corresponding improvement measures. Results The number of drug-receiving errors dropped from 137 times to 32 times and the risk reduction rate was 76.64% after improving the procurement process of the supply chain service platform, which significantly reduced the risk of contracting errors. Conclusion FMEA method could help to figure out the loopholes and hidden dangers of the pharmacy system, which made the outpatient pharmacy more reasonable and accurate by constantly improving the measures of the drug supply chain collaborative service platform.
- FMEA /
- outpatient pharmacy /
- supply chain collaborative service platform

[1]	陈莉华,黄齐慧,成明建,等.基于精益思想的医院领药业务流程再造[J].中国民族民间医药,2012,15(2):159-160.
[2]	李惠莹,云雄.供应链协同服务平台系统在医院药库中的应用[J].医药导报,2014,33(10):1398-1340.
[3]	沈烽,张健,杨传敏,等.我院药库物流信息化管理实践及体会[J].中国药房,2009,20(31):2429-2431.
[4]	周玲,缪丽燕.院内供应链药品采购模式对改善我院药品库存管理探讨[J].中国药房,2011,22(9):821.
[5]	马瑛,庞成森,王新鹏.完善医院药品供应链与优化库存结构的实践与体会[J].医药导报,2013,24(21):1969.
[6]	庞成森,董海燕,董亚琳.基于互联网的药品供应链协同平台在我院药库的应用[J].中国药师,2014,17(4):682-684.
[7]	SAE J. Potential failure mode and effects analysis in design (Design FMEA) potential failure mode and effects analysis in manufacturing and assembly processes (Process FMEA),and potential failure mode and effects analysis for machinery (Machinery FMEA)[S].2002.
[8]	SAE ARP5580.Recommended failure modes and effects analysis (FMEA) practices for non-automobile applications[S].2001.
[9]	BS EN60812:2006 Analysis techniques for system reliability,procedures for failure mode and effect analysis (FMEA)[S].2006.
[10]	于雁玲,武建康,范慧霞.失效模式后果分析在高危药品管理中的应用[J].中国药物与临床,2013,11:1503-1504.
[11]	ONODERA K.Effective techniques of FMEA at each life-cycle stage[A],Proceedings,Annual Reliability and Maintain-ability Symposium[C].IEEE,1997.
[12]	武志昂.试论药品风险管理和质量价值链[j].中国药物评价,2012,29(2):180-182.
[13]	ASHLEY L,ARMITAGE G.Failure mode and effects analysis:an empirical comparison of failure mode scoring procedures[J].J Patient Saf,2010,6(4):210-215.
[14]	宋相梅,曲建华,王莉梅,等.运用FMEA法规范住院药房麻醉药品及一类精神药品质量管理[J].中国药物评价,2017,34(2):153-156.
[15]	梁婉宁,赵育鹏,廖志斌.计算门诊药房二级库药品库存上下限的方法分析[J].中国医学创新,2017,14(10):140-143.
[16]	WU M,SIN A,NISHIOKA F,et al.Non-drug costa associated with outpatient infliximab administration in pediatric inflammatory bowel disease[J].Inflammatory Bowel Diseases,2013,19(7):1514-1517.
[17]	贾俊琴,宋沧桑,包金颖. PDCA循环在病区药品管理持续改进中的应用[J].中国药物评价,2016,33(4)::251-252.
[18]	宋菲,董迪,甄健存.风险管理在胰岛素及其类似物用药错误防范中的应用[J].药学实践杂志,2017,37(7):650-653.
[19]	PONTO T,ISMAIL N I,ABDUL MAJEED A B,et al.A prospective study on the pattern of medication use for schizophrenia in the outpatient pharmacy department,Hospital Tengku Ampuan Rahimah,Selangor,Malaysia[J].Methods Find Exp Clin Pharmacol,2010,32(6):427-432.
[20]	JAGER N G,ROSING H,SCHELLENS J H,et al. Tamoxifen dose and serum concentrations of tamoxifen and six of its metabolites in routine clinical outpatient care[J].Breast Cancer Res Treat,2014,143(3):477-483.
[21]	KUO G M,TOUCHETTE D R,MARINAC J S.Drug errors and related interventions reported by United States clinical pharmacists:the American College of Clinical Pharmacy practice-based research network medication error detection,amelioration and prevention study[J].Pharmacotherapy,2013,33(3):253-265.
[22]	BAO L,WANG Y,SHANG T,et al.A novel clinical pharmacy management system in improving the rational drug use in department of general surgery[J].Indian J Pharm Sci,2013,75(1):11-15.
[23]	YEH M L,CHANG Y J,YEH S J,et al.Potential drug-drug interactions in pediatric outpatient prescriptions for newborns and infants[J].Computer Methods and Programs in Biomedicine,2014,113(1):15-22.

[1]	曹奇, 张嘉宝, 王培. 基于无监督自动降维分析与手动圈门联用的骨骼肌髓系细胞多色流式分析方法 . 药学实践与服务, 2025, 43(3): 118-122. doi: 10.12206/j.issn.2097-2024.202404077
[2]	张岩, 李炎君, 刘家荟, 邓娇, 原苑, 张敬一. 药物性肝损伤不良反应分析 . 药学实践与服务, 2025, 43(1): 26-29, 40. doi: 10.12206/j.issn.2097-2024.202404034
[3]	张俊丽, 李媛媛, 尹静, 杨鸿源, 白耀武. 咪达唑仑调节PINK1/PARKIN信号通路对缺血性脑卒中大鼠神经元损伤的影响 . 药学实践与服务, 2025, 43(): 1-6. doi: 10.12206/j.issn.2097-2024.202405024
[4]	施乔, 韩贵焱, 张俊腾, 刘娜. 新型Hsp90抑制剂的设计合成及其抗真菌和抗肿瘤活性研究 . 药学实践与服务, 2025, 43(3): 124-135. doi: 10.12206/j.issn.2097-2024.202501019
[5]	冯一帆, 严啸东, 张文彬, 李炳锋, 郭美丽. 菸花苷长期给药对脑缺血再灌注损伤大鼠神经功能的影响 . 药学实践与服务, 2025, 43(): 1-7. doi: 10.12206/j.issn.2097-2024.202407038
[6]	徐尧, 马春辉, 李志勇. 高血压对心血管纤维化及sFRP2表达的影响 . 药学实践与服务, 2025, 43(4): 1-5. doi: 10.12206/j.issn.2097-2024.202409055
[7]	肖农, 陆诗依, 唐文雅, 居敏俐, 徐刚锋, 杨明华. 中成药微生物计数法前处理的影响因素和优化方法 . 药学实践与服务, 2025, 43(): 1-5. doi: 10.12206/j.issn.2097-2024.202403014
[8]	富子菲, 陈静. 非洲部分地区药品品种供应分析 . 药学实践与服务, 2025, 43(): 1-10. doi: 10.12206/j.issn.2097-2024.202407040
[9]	崔晓林, 付晓菲, 杜艳红, 刘娟, 朱茜, 刘子祺. 临床药师参与吉瑞替尼致QTc间期延长的病例分析 . 药学实践与服务, 2024, 42(6): 263-266. doi: 10.12206/j.issn.2097-2024.202309050
[10]	尹小娟, 台力丽, 肖俊峰, 季波. 铜绿假单胞菌合并按蚊伊丽莎白菌肺部感染的病例分析 . 药学实践与服务, 2024, 42(5): 223-226. doi: 10.12206/j.issn.2097-2024.202310042
[11]	桂明珠, 李静, 李志玲. 儿童伏立康唑的血药浓度与CYP2C19、CYP2C9和CYP3A5基因多态性的相关性研究 . 药学实践与服务, 2024, 42(): 1-5. doi: 10.12206/j.issn.2097-2024.202402020
[12]	毛智毅, 王筱燕, 陈晓颖, 汤逸斐. 度拉糖肽联合二甲双胍对肥胖型2型糖尿病患者机体代谢、体脂成分及血清脂肪因子的影响 . 药学实践与服务, 2024, 42(7): 305-309. doi: 10.12206/j.issn.2097-2024.202305032
[13]	陈静, 何瑞华, 翁月, 徐熠, 刘静, 黄瑾. 基于网络药理学和分子对接技术探究定清片活性成分治疗白血病的作用机制 . 药学实践与服务, 2024, 42(11): 479-486. doi: 10.12206/j.issn.2097-2024.202401073
[14]	陈金涛, 乔子婴, 马明华, 张若曦, 王振伟, 年华. 基于网络药理学和分子对接技术研究金芪清疏颗粒治疗社区获得性肺炎的潜在机制 . 药学实践与服务, 2024, 42(11): 471-478. doi: 10.12206/j.issn.2097-2024.202312014
[15]	修建平, 杨朝爱, 刘禧澳, 潘乾禹, 韦广旭, 王卫星. 全反式维甲酸对肝星状细胞活化及氧化应激的作用和机制探索 . 药学实践与服务, 2024, 42(7): 291-296. doi: 10.12206/j.issn.2097-2024.202312054
[16]	张修平, 田家盛, 王道鑫, 李佳鑫, 王品, 缪朝玉. MT-1207对小鼠血糖、血脂和动脉粥样硬化的作用 . 药学实践与服务, 2024, 42(11): 487-494. doi: 10.12206/j.issn.2097-2024.202306011
[17]	杨媛媛, 安晓强, 许佳捷, 江键, 梁媛媛. 正极性驻极体联合5-氟尿嘧啶对瘢痕成纤维细胞生长抑制的协同作用 . 药学实践与服务, 2024, 42(6): 244-247. doi: 10.12206/j.issn.2097-2024.202310027
[18]	温瑞睿, 许龙, 朱文静, 杨建伟. 浅谈国外药师主导开展戒烟服务的作用与挑战 . 药学实践与服务, 2024, 42(12): 537-541, 548. doi: 10.12206/j.issn.2097-2024.202408054
[19]	瞿文君, 白若楠, 崔力, 周琰. 基于联合库存的公立医院多院区药品采购模式分析 . 药学实践与服务, 2024, 42(7): 315-318. doi: 10.12206/j.issn.2097-2024.202401002
[20]	姚瑞阳, 于海征, 李耀盺, 张磊. 丹参FBXL 基因家族的鉴定和表达模式分析 . 药学实践与服务, 2024, 42(11): 461-470. doi: 10.12206/j.issn.2097-2024.202407034

点击查看大图

计量

文章访问数: 4005
HTML全文浏览量: 511
PDF下载量: 447
被引次数: 0

姓名
邮箱
手机号码
标题
留言内容
验证码

留言板

用失效模式和影响分析法规范药品供应链协同服务平台在门诊药房领药中的应用

doi: 10.3969/j.issn.1006-0111.2019.01.020

Application of FMEA regulated drug supply chain collaborative service platform for drug-receiving in outpatient pharmacy

计量

用失效模式和影响分析法规范药品供应链协同服务平台在门诊药房领药中的应用

doi: 10.3969/j.issn.1006-0111.2019.01.020

海军军医大学附属长征医院药材科, 上海 200003

English Abstract

Application of FMEA regulated drug supply chain collaborative service platform for drug-receiving in outpatient pharmacy

Changzheng Hospital Affiliated to Naval Medical University, Shanghai 200003, China

全文HTML

目录

全文HTML

留言板

用失效模式和影响分析法规范药品供应链协同服务平台在门诊药房领药中的应用

doi: 10.3969/j.issn.1006-0111.2019.01.020

Application of FMEA regulated drug supply chain collaborative service platform for drug-receiving in outpatient pharmacy

计量

出版历程

用失效模式和影响分析法规范药品供应链协同服务平台在门诊药房领药中的应用

doi: 10.3969/j.issn.1006-0111.2019.01.020

海军军医大学附属长征医院药材科, 上海 200003

English Abstract

Application of FMEA regulated drug supply chain collaborative service platform for drug-receiving in outpatient pharmacy

Changzheng Hospital Affiliated to Naval Medical University, Shanghai 200003, China

全文HTML

目录

全文HTML