Objective  To improve the management efficacy of specialized account books for controlled substances, including toxic drugs, vaccines, anesthetic drugs, class Ⅰ psychotropic drugs and class Ⅱ psychotropic drugs through informatization, reduce the administrative burden on pharmacists, bolster error prevention mechanisms, and refine patient-centric services.

Methods  A bespoke software module was integrated into the hospital’s information system to digitize the management of specialized account books for controlled substances such as anesthetic drugs, psychotropic drugs, toxic drugs, radioactive drugs, etc. A comparative analysis was conducted to evaluate the work efficiency, incidence of accounting adverse events, human resource utilization and material conservation before and after the informatization.

Results   After informatization, the accounting time of pharmacists has significantly shortened (P﹤0.001). Accounting adverse events reduced to 0 per month, pharmacist manpower saved approximately 4 shifts per month, pharmacist satisfaction has been improved (P﹤0.001), and paper usage was saved.

Conclusion  Information management mode of special account books for special drugs is scientific, efficient and feasible, and is beneficial for optimizing the allocation and upgrading transformation of pharmacist resources.

1.吴丽嫦, 林桂锋. 麻醉药品和第一类精神药品管理和使用的体会[J]. 中国处方药, 2016, 14(5): 27-28. [Wu LC, Lin GF. Experience in the management and use of narcotic drugs and Class I psychotropic substances[J]. China Prescription Drugs, 2016, 14(5): 27-28.] DOI: 10.3969/j.issn.1671-945X.2016.05.017.

2.赵爱贤, 王鹏. 麻醉药品临床管理与使用乱象分析与对策 [J]. 中国药业, 2015, 24(18): 4-7. [Zhao AX, Wang P. Analysis and countermeasures on the messy clinical management and use of narcotic drugs[J]. China Pharmaceuticals, 2015, 24(18): 4-7.] DOI: CNKI:SUN:YYGZ.0.2015-18-003.

3.王燕, 郭伟. 我院门诊药房麻醉药品和第一类精神药品的规范化管理[J]. 中国药房, 2013, 24(37): 3501-3504. [Wang Y, Guo W. Standardised management of narcotic drugs and Class I psychotropic drugs in our outpatient pharmacy[J]. China Pharmacy, 2013, 24(37): 3501-3504.] DOI: CNKI:SUN:YYGZ.0.2015-18-003.

4.尹玲, 张秀珍, 陈文文, 等. 2016年我院住院药房麻醉药品使用情况分析[J]. 药学研究, 2018, 37(4): 237-239. [Yin L, Zhang XZ, Chen WW, et al. Analysis of the use of narcotic drugs in our inpatient pharmacy in 2016[J]. Journal of Pharmaceutical Research, 2018, 37(4): 237-239.] DOI: 10.13506/j.cnki.jpr.2018.04.014.

5.吴苏, 秦玉娇, 支慧, 等. 麻醉科麻醉药品安全管理实践 [J]. 麻醉安全与质控, 2019, 3(6): 316-319. [Wu S, Qin YJ, Zhi  H, et al. Safety management of narcotic drugs in department of anesthesiology[J]. Perioperative Safety and Quality Assurance, 2019, 3(6): 316-319.] DOI: 10.3969/j.issn.2096-2681. 2019.06.002.

6.张波, 闫翔宇, 张翔宇, 等. 老年人麻醉药品和精神药品滥用现状及预防策略研究进展[J]. 中华流行病学杂志, 2020, 41(4): 615-620. [Zhang B, Yan XY, Zhang XY, et al. Research progress on current situation and preventive measures for the narcotic and psychotropic drugs abuse in the elderly[J]. Chinese Journal of Epidemiology, 2020, 41(4): 615-620.] DOI: 10.3760/cma.j.cn112338-20190723-00542.

7.江琦, 蔡建龙, 夏伟峰. 麻醉科药品安全存在的问题与应对措施研究[J]. 中医药管理杂志, 2018, 26(4): 66-68. [Jiang Q, Cai JL, Xia WF. Research on the problems and countermeasures of drug safety in anaesthesiology department[J]. Journal of Traditional Chinese Medicine Management, 2018, 26(4): 66-68.] DOI: 10.16690/j.cnki.1007-9203.2018.04.031.

8.关丽英, 于倩, 郭义明, 等. 2012—2014年吉林大学中日联谊医院麻醉药品的使用情况分析[J]. 现代药物与临床, 2015, 30(11): 1403-1407. [Guan LY, Yu Q, Guo  YM, et al. Analysis on usage of narcotic drugs in China-Japan Union Hospital of Jilin University during 2012-2014[J]. Drugs & Clinic, 2015, 30(11): 1403-1407.] DOI: 10.7501/j.issn.1674-5515.2015.11.024.

9.徐咏, 洪杏, 李晶. PDCA循环法在我院临床科室麻醉精神药品管理中的应用[J]. 儿科药学杂志, 2017, 23(4): 51-53. [Xu Y, Hong X, Li J. Application of PDCA circulation method in narcotic and psychotropic drugs management of our hospital clinical departments[J]. Journal of Pediatric Pharmacy, 2017, 23(4): 51-53.] DOI: 10.13407/j.cnki.jpp.1672-108X.2017.04.017.

10.刘红波, 邹春招, 曾顺芳. 药箱式管理在麻醉科特殊药品中的应用[J]. 护理实践与研究, 2015, 12(9): 73-74. [Liu HB, Zou CZ, Zeng SF. The use of medical kit for special drugs management in department of anesthesiology[J]. Nursing Practice and Research, 2015, 12(9): 73-74.] DOI: 10.3969/j.issn.1672-9676.2015.09.036.

11.李景秋. HIS在高风险药品护理风险防范中的作用分析 [J]. 临床护理杂志, 2019, 18(2): 71-73. [Li JQ. Analysis of the role of HIS in nursing risk prevention of high-risk medicines[J]. Journal of Clinical Nursing, 2019, 18(2): 71-73.] DOI: 10.3969/j.issn. 1671-8933.2019.02.026.

12.严志瑜, 范瑞, 王伟, 等. 麻精药品管理与智慧管理服务系统建设探讨[J]. 医院管理论坛, 2022, 39(12): 71-74. [Yan ZY, Fan R, Wang W, et al. Discussion on construction of narcotics and psychotropic drugs management and intelligent management service system[J]. Hospital Management Forum, 2022, 39(12): 71-74.] DOI: 10.3969/j.issn.1671-9069.2022.12.018.

13.祖筠筠, 洪倩, 叶见青, 等. 基于六级电子病历建设构建医院麻精药品流转全流程闭环管理体系[J]. 中国现代应用药学, 2023, 40(11): 1549-1555. [Zu YY, Hong Q, Ye JQ, et al. Build a closed-loop management system for the entire flow of narcotic and psychotropic drugs in hospital based on the construction of level-six electronic medical records[J]. Chinese Journal of Modern Applied Pharmacy, 2023, 40(11): 1549-1555.] DOI: 10.13748/j.cnki.issn1007-7693.20223127.