目的 设计开发信息化系统，对巡诊及医疗帮扶工作中的药品消耗实施全流程管理。方法 分析药品在院外使用过程 中的监管需求，对事前、事中、事后各环节进行功能设计，采用PowerBuilder编程工具和Adaptive Server Anywhere数据库进 行系统的开发。结果 巡诊及医疗帮扶用药全流程管理系统具有药品请领、处方消耗、使用登记、统计分析、退药入库、溯 源及随访等功能，形成药品消耗使用的闭环管理模式，且在事前与事后可与医院信息系统对接。对比手工管理模式，在系 统易用性、工作方便性、效率提高性、数据准确性、追溯精准性等方面均有明显提高，且差异有统计学意义（P＜0.05）。结论 巡诊及医疗帮扶用药全流程管理系统的应用，填补了药品院外消耗监管及使用追溯的空白，实现了药品院外使用的全流程 管理，提高了工作效率和药品管理水平。

Objective To design and develop an information system to implement the whole process management of drug consumption in the work of patrolling and medical assistance. Methods The supervision needs of drugs in the process of outside-hospital use were analyzed, and the functions of each link before, during and after the use were designed, and PowerBuilder programming tool and Adaptive Server Anywhere database were used to develop the system. Results The whole process medication management system of medical patrol and medical assistance could be connected with the hospital information system before and after the event, which had the functions of drug requisition, prescription consumption, use registration, statistical analysis, drug return and warehousing, traceability and follow-up, forming a closed-loop management mode of drug consumption and use. Compared with the manual management mode, the scores of system ease of use, work convenience, efficiency improvement, data accuracy and traceability accuracy were improved, and the difference was statistically significant (P<0.05). Conclusion The application of the whole process medication management system of medical patrol and medical assistance fills the gap of consumption supervision and use traceability outside the hospital, which can realize the whole process management of the use of drug outside the hospital, and improves the work efficiency and drug management level.