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논문KCI 등재

그룹처방약품 집계를 이용한 약품 관리 업무 개선

Improvement of Drug Inventory Management by the Group-Order Medicines Program (GOMP)

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Background : Group-order medicines (GOM) are requirements that have been steadily used in various clinical laboratories at a hospital. Since GOM is not recognized by an individual code, the number of GOM could not be totalized exactly until now. This results in a discrepancy between amount of health insurance claims and purchasing, leads to unreasonable inventory management and associated work, and increases unnecessary cost. We therefore developed a GOM-counting program (GOMP) for three months, from January to March 2016. Methods : The aim of this study was to evaluate a rational GOM-inventory management process through GOMP. We compared the following factors between pre- and post- GOMP application: characteristic value assignment, work process, and registering percentage of GOM-consignment stock. Results : After applying GOMP, the characteristic of GOM was converted from a requisition to prescription medicine. The issuing department was unified, and requisition work was replaced by an automatic electronic process. The amount of claims and purchasing was equalized after implementation of GOMP. The GOM-associated work process reduced to 5 steps compared to previous 8-9 steps. The registering percentage of consignment stock increased greatly, from 17.8% to 91.1%. Conclusion : Accurate aggregation is critical for proper drug inventory management. Application of GOMP in drug inventory management made it possible to streamline the work process, and to properly manage the consignment stock and drug inventory assets.

Abstract

Background : Group-order medicines (GOM) are requirements that have been steadily used in various clinical laboratories at a hospital. Since GOM is not recognized by an individual code, the number of GOM could not be totalized exactly until now. This results in a discrepancy between amount of health insurance claims and purchasing, leads to unreasonable inventory management and associated work, and increases unnecessary cost. We therefore developed a GOM-counting program (GOMP) for three months, from January to March 2016. Methods : The aim of this study was to evaluate a rational GOM-inventory management process through GOMP. We compared the following factors between pre- and post- GOMP application: characteristic value assignment, work process, and registering percentage of GOM-consignment stock. Results : After applying GOMP, the characteristic of GOM was converted from a requisition to prescription medicine. The issuing department was unified, and requisition work was replaced by an automatic electronic process. The amount of claims and purchasing was equalized after implementation of GOMP. The GOM-associated work process reduced to 5 steps compared to previous 8-9 steps. The registering percentage of consignment stock increased greatly, from 17.8% to 91.1%. Conclusion : Accurate aggregation is critical for proper drug inventory management. Application of GOMP in drug inventory management made it possible to streamline the work process, and to properly manage the consignment stock and drug inventory assets.

참고문헌 (5)

  1. "2주기 의료기관(종합병원용)인증 조사기준_Ver2.0" (2014), 의료기관평가인증원[URL]
  2. "강동경희대학교병원 약무규정", ~ (2016)
  3. 조송자, "의약품의 재고관리", 병원약사회지, 15(2), pp.269~275 (1998)
  4. "간호사실수로군인사망, 병원은 조직적 증거 은폐"[URL]
  5. "의약품 사용과오(Medication Error) 예방 가이드라인" (2008), 보건복지부 의약품정책팀[URL]

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