Evidence map›Paper›PMID 42063050›Full record

ArticleBMC health services research2026

Optimization of drug delivery in internet hospitals using the 5M1E and HACCP frameworks.

Juan-Juan Cheng, Yong Chen, Mei-Hong Sheng, Yi-Jun Guo, Wei Wu, Xing-Can Wan, Ying Lu, Hong-Jian Lu

Abstract read
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Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Juan-Juan ChengDepartment of Pharmacy, Nantong First People's Hospital, Nantong, Jiangsu Province, 226000, China.
Yong ChenDepartment of Pharmacy, Nantong First People's Hospital, Nantong, Jiangsu Province, 226000, China.
Mei-Hong ShengDepartment of Outpatient, Nantong First People's Hospital, Nantong, Jiangsu Province, 226000, China.
Yi-Jun GuoDepartment of Pharmacy, Nantong First People's Hospital, Nantong, Jiangsu Province, 226000, China.
Wei WuDepartment of Purchasing Management, Nantong First People's Hospital, Nantong, Jiangsu Province, 226000, China.
Xing-Can WanDepartment of Pharmacy, Nantong First People's Hospital, Nantong, Jiangsu Province, 226000, China.
Ying LuDepartment of Pharmacy, Nantong First People's Hospital, Nantong, Jiangsu Province, 226000, China.
Hong-Jian LuThe President's Office, Nantong First People's Hospital, No.666 of Shengli Road, Chongchuan District, Nantong, Jiangsu Province, 226000, China. luhongjianlhjcn@126.com.

Funding

The Project on Drug Policy and Pharmaceutical Services in Nantong City No.2023NTPA06
6 · The paper itself

Abstract

backgroundThe aim of this descriptive, quality improvement study is to enhance the quality and safety of drug delivery services in internet hospitals in China by identifying and mitigating potential risks.

methodsUsing the 5M1E (Man, Machine, Material, Method, Measurement, Environment) method in combination with the and Hazard Analysis and Critical Control Point HACCP approach, and based on a systematic review of relevant laws, regulations, and national standards, we comprehensively identified 15 potential hazards across seven key stages of internet hospital drug distribution: logistics selection, information transfer, fee collection, handover and packaging, in-transit transportation, receipt confirmation, and medication guidance. By calculating the Risk Priority Number (RPN) for each hazard, 10 high-risk critical control points were identified. Corresponding quality indicators and critical limits were established, and 23 corrective and optimization measures were subsequently proposed.

resultsCompared with the pre-intervention period (June–December 2024), the post-intervention period (January–June 2025) showed a 77.18% reduction in RPN values and a 71.83% reduction in error rates (P < 0.05). Delivery timeliness also improved, and overall service satisfaction increased from 90.30% to 99.6%.

conclusionThe integration of 5M1E and HACCP methodologies facilitated systematic optimization of service processes and implementation of dynamic risk management strategies in internet hospital drug delivery. This approach contributed to the prevention of quality control failures in logistics and mitigated potential risks to drug safety. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Drug Delivery SystemsInternetPharmacy Service, HospitalQuality ImprovementChinaHumans5M1E methodDrug deliveryHACCP methodInternet hospitalRisk priority number

Identifiers

PMID42063050
PMCPMC13277051

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.