RESUMO
OBJECTIVE:To provide reference for further standardizing and perfecting the management of drug unpacking in outpatient pharmacy.METHODS:A total of 6 primary and secondary health institutions (4 community health service centers and 2 secondary hospitals) were selected from 2 districts in Shanghai to conduct a questionnaire survey on the use of their drugs and drug unpacking in outpatient pharmacy.The survey data was analyzed statistically.RESULTS:Totally 6 institution questionnaires and 6 pharmaceutical staff questionnaires were sent out,all were received with recovery of 100％.In 2015,the average number of essential medicines in community health service centers and secondary hospitals were 496.50,542.00,respectively,and the average number of varieties sold were 530.75,1 052.00.In outpatient pharmacy of surveyed community health service center,the number of unpacked drugs was 10-21 which were essential drugs and class A medical insurance drugs,and the consumption sum of unpacked drug ranged 5.56-16.70 ten thousand yuan.In outpatient pharmacy of 2 two secondary hospitals,the number of unpacked drugs were 17 and 23,respectively,most of which were essential drugs and class A medical insurance drugs,and the consumption sum of unpacked drug ranged 13.19 to 158.06 ten thousand yuan.The proportion of unpacked drugs was less than 5％ of the total number of varieties sold,and the proportion of consumption sum of unpacked drugs was less than 1％ of total consumption sum.Estazolam tablets and Alprazolam tablets took up the top 5 in the list of consumption sum of unpacking drugs in 2 types of intervi ewed instiutions.All the surveyed institutions were not equipped with drug dispensing machine in the outpatient pharmacy,still depended on manually unpacking.There were four institutions to regularly arrange the unpacking,unpacking frequency was usually 1 to 3 times a week,supplemented by the need to arrange unpacking,and another two to implement a daily unpacking.There were 5 institutions to develop a drug unpacking mechanism in the institutions,but the relevant system was not perfect.CONCLUSIONS:The enthusiasm of pharmaceutical saff in primary and secondary health institutions in Shanghai to carry out or engage in unpacking work need to be improved,the instructions for unpacked drugs are not available on request,and the way to unpack drugs still needs to explore.
RESUMO
Objective To insight into the status of literature research of drug unpacking in medical institutions in China,to provide decision basis for decision makers to further standardize the management of drugs.Metheds By using the method of systematic review,searching China biomedical literature database (CBM) that articles published before October 15,2016.After two rounds of literature screening,ultimately 67 articles were analyzed.Results The study of drug unpacking in China began in 1997.Of the 67 studies included in this research,a total of 17.9％(12/67) literature was the original study,and a total of 67.2％ (45/67) studies were performed in tertiary hospitals.There were 14 studies that reported the objective of drug unpacking in outpatient pharmacy.Some studies reported the manner of drug unpacking,some reported the system construction of drug unpacking in institution,and some reported the common problems of drug unpacking and quality improvement measures.Conclusion At present,there are few original studies on the drug unpacking in China,most of included studies are carried out in tertiary hospitals and focus on the problems because of drug unpacking.The actual size of drug unpacking of the medical institution (the number of varieties,amount) is not known.It is necessary to carry out large-scale field research.