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我院门诊药房自动化发药系统的建设与实践
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| 篇名： | 我院门诊药房自动化发药系统的建设与实践 |
| TITLE： | Construction and Practice of Automatic Drug Delivery System in Outpatient Pharmacy of Our Hospital |
| 摘要： | 目的：探讨我院门诊药房应用自动化发药系统过程中出现的问题及改进措施，为门诊药房自动化发药系统的建设提供参考。方法：结合我院医院信息管理系统药房模块的功能，以及药师发药工作中的实际需求，建设我院自动化发药系统（包括自动发药机、处方调配与发药模式、智能药筐），并进行运行与持续优化。结果：经过6个月的使用磨合过程，自动发药机的硬件已趋于稳定，软件功能得到了优化，软硬件的优化包括预配药模式、药品储位、系统提示、出药数量、药品有效期管理、取药高峰期配药模式等方面；同时，制定了自动发药系统应急预案。自动化发药系统日均可分担药师80％的处方调配工作，节省了人力成本（约可减少2个药师的人力成本），缩短了患者取药等候时间（平均由7.45min缩短至6.61min，P＜0.01），降低了处方调剂未出门差错率（由0.0409％降至0.0195％，P＜0.01）。结论：我院自动化发药系统的建立，减轻了药师工作量，提高了工作效率，减少了调配差错，提升了药学服务质量。 |
| ABSTRACT： | OBJECTIVE：To investigate the problem s and improvement measures in the application of automatic drug delivery system in outpatient pharmacy of our hospital ，and to provide reference for the construction of automatic drug delivery system in outpatient pharmacy. METHODS ：Combined with the pharmacy module function of HIS system in our hospital and the actual needs of the pharmacist in drug delivery process ，the automatic delivery system of our hospital （including automatic delivery machine ， prescription dispensing and delivery mode ，intelligent medicine basket ）was established for operation and optimization. RESULTS ： After six months of running period ，the hardware of the automatic dispensing machine had been stabilized ，and the software functions had been optimized ，including the mode of pre-dispensing ，drug storage ，system prompt ，quantity of dispensing ， management of the drug period of validity ，and the mode of dispensing at the peak of drug taking. At the same time ，the emergency plan was formulated for automatic dispensing system. The application of the automatic dispensing machine shared 80％ of pharmacists ’prescription dispensing on an average day ，saved labor cost （reduce the labor cost of about 2 pharmacists）， shortened patients ’waiting time for drug-taking （down from 7.45 min to 6.61 min on average ，P＜0.01），reduced prescription dispensing error rate （down from 0.040 9％ to 0.019 5％ on average ，P＜0.01）. CONCLUSIONS ：The establishment of automatic drug delivery system in our hospital has reduced the workload of pharmacists ，improved the work efficiency ，decreased prescription dispensing error and promoted the quality of pharmaceutical care. |
| 期刊： | 2020年第31卷第19期 |
| 作者： | 汪铁山，王穗琼，庄少雄，陈明进，方瑞 |
| AUTHORS： | WANG Tieshan，WANG Suiqiong，ZHUANG Shaoxiong，CHEN Mingjin，FANG Rui |
| 关键字： | 自动化发药系统；自动发药机；门诊药房；建设；实践 |
| KEYWORDS： | Automatic drug delivery system ；Automatic delivery machine ；Outpatient pharmacy ；Construction；Practice |
| 阅读数： | 781 次 |
| 本月下载数： | 14 次 |
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