의약품 표준코드를 이용한 재고관리시스템 개발에 따른 업무 효율성 평가

Abstract

Seoul National Hospital can purchase drugs through an annual bidding process. So if a contract brings change in the pharmaceutical manufacturer, we require continuous updating of barcode information and needs to reallocate item code. Moreover, because of results in frequent change of the brand name, being prone to medication errors coming from similar appearance and packaging, and tracing issues for problematic drugs in use. Thus, we need to seek an efficient improvement measure. Also, Ministry of Health & Welfare announced“ Pharmaceuticals Standard Code: Guidelines for Use and Management of Drug Barcodes”which was released on January 15, 2008. The ministry mandated use of pharmaceuticals barcode labels from January 1, 2010. In response to the new policy, we began to develop a real-time inventory management system that uses Personal Digital Assistants (PDAs) to read the Korea Drug Code(KDC) printed on drug packaging. The system was designed to control inventory movement, by reading information assigned to the KDC of inbound/outbound sheet with a PDA, Development of this system led to improve the job satisfaction of employees as it helped them prevent medication error and reduce the time in drug inventory management. In order to develop a KDC-based program, the hospital needed to create a barcode information database. The hospital IT team then developed a KDC management program and conducted an operational review before its completion in September, 2009. Program implementation began with narcotics and was expanded to other drugs in November, 2009. And before and after application of this inventory management system, we conducted the survey about the working time and employee’s satisfaction. The survey showed mean time reduced 6.1% in inventory movement and drug management. And job satisfaction enhanced 7.1% at the employee level. This program allowed the hospital to control drugs at the entry point, in an effort to enhance patient safety. Furthermore, this program promotes timely and efficient management of pharmaceuticals logistics, thereby enhancing satisfaction also at the patient level.