Abstract： Objective To investigate the management of narcotic and psychotropic drugs in the department of anesthesiology at hospitals of secondary and higher level in Beijing,and provide a basis for the drug management in the department of anesthesiology of different levels of hospitals.Methods Through the platform of Beijing Center of Quality Control and Improvement for Clinical Anesthesia,a questionnaire star link was issued to hospitals of secondary and higher level,which have established anesthesia departments by authorised personnel.The content of questionnaire includes basic hospital information,the current management system and usage status of narcotic and psychotropic drugs in the anesthesia department,as well as suggestions.Results A total of 159 questionnaires were issued in this survey,and 139 valid questionnaires were recovered,including 50 secondary hospitals and other specialized hospitals and 89 tertiary general hospitals,with an effective recovery rate of 87.4％.The main types of narcotic and psychotropic drugs used in the department of anesthe-siology at hospitals of secondary and higher level in Beijing are sufentanil citrate injection,remifentanil injection,ephedrine hydrochloride injection,and fentanyl citrate injection.The personnel involved in drug management include anesthesiologists(63.3％),nurses in the anesthesia department(45.3％),operating room nurses(45.3％),clinical pharmacists(11.5％).There is a phenomenon of cross management.The main problems in the management and of anesthesia drugs use include expired waste caused by drug backlog(36.4％),and lack of prescription or incorrect prescription of narcotic and psychotropic drugs(31.8％),also problems with different drug storage,limited number of management personnel but multiple roles,etc.Conclusion The department of anesthesiology of hospitals at different levels in Beijing should establish narcotic and psychotropic drugs management system based on legal norms and their characteristics,clarify the qualifications of narcotic and psychotropic drugs management personnel.It is suggested that intelligent drug vehicles be introduced and anesthesia nursing positions be set up for improving the efficiency of narcotic and psychotropic drugs management.