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危害分析和关键控制点在急诊药房药品效期管理的应用
李素梅
0
(内蒙古医科大学第三附属医院,内蒙古包头 014010)
摘要:
目的:探讨安全有效管理急诊药房药品效期的方法。 方法:选取 2021 年 1-6 月急诊药房效期药品 347 种作为运用危害 分析和关键控制点(HACCP)管理前的研究对象,2021 年 7-12 月急诊药房效期药品 353 种作为运用 HACCP 管理后的研究对 象,比较分析实施 HACCP 管理前后近效期药品在急诊药房的流通情况。 具体步骤包括成立工作组、建立工作流程图、分析危 害和评估风险、确定关键控制点(CCP)、建立关键限值(CL)、制定和实施 HACCP 计划、建立记录档案。 结果:实施 HACCP 管理 后,医院急诊药房近效期药品百分比降低,由 3. 09%下降到 0. 84%(P<0. 05);药品报损率降低,由 0. 94‰下降到 0. 19‰(P< 0. 05)。 结论:HACCP 法用于急诊药房药品效期管理成果显著, 值得推广应用。
关键词:  危害分析和关键控制点  药品  有效期  管理  急诊药房
DOI:10.13407/j.cnki.jpp.1672-108X.2023.11.008
基金项目:
Application of Hazard Analysis and Critical Control Points Method in Management of Drug Expiry Dates in Emergency Pharmacy
Li Sumei
(Third Affiliated Hospital, Inner Mongloia Medical College, Inner Mongloia Baotou 014010, China)
Abstract:
To explore safe and effective management in drug expiry dates in emergency pharmacy. Methods: A total of 347 types of drugs with expiry dates from Jan. to Jun. 2021 were selected as the research subjects before implementation of Hazard Analysis and Critical Control Points (HACCP) management, and 353 types of drugs with expiry dates from Jul. to Dec. 2021 were extracted as the research subjects after implementation of HACCP management. Comparative analysis was performed to assess the circulation of near- expiry drugs in the emergency pharmacy before and after implementation of HACCP management. The specific steps included forming working group, establishing workflow diagram, analyzing hazards, assessing risks, identifying critical control points ( CCP), setting critical limits ( CL), developing and implementing HACCP regimen, and maintaining records. Results: After implementation of HACCP management, the proportion of near-expiry drugs in emergency pharmacy of the hospital decreased, from 3. 09% to 0. 84% ( P<0. 05). The drug wastage rate also decreased, from 0. 94‰ to 0. 19‰ (P<0. 05). Conclusion: The implementation of HACCP management in drug expiry dates in emergency pharmacy has yielded significant results and is worthy of wider promotion and application.
Key words:  hazard analysis and critical control point  drug  expiry dates  management  emergency pharmacy

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