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我院儿科门急诊智能药房服务系统的建立与应用
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| 篇名： | 我院儿科门急诊智能药房服务系统的建立与应用 |
| TITLE： | Establishment and application of pediatric outpatient and emergency intelligent pharmacy service system in our hospital |
| 摘要： | 目的 为医疗机构智能化药房的建设和各环节质量的把控提供参考。方法梳理我院儿科门急诊药房在处方提取、调配、药品资源利用、处方和患儿信息核对等环节存在的问题、难点和风险点，提出解决方案；建立我院儿科门急诊智能药房服务系统并分析该系统的实施成效。结果与结论针对缴费、取药、调配等各环节存在的药品易堆积、易发生调配差错、易发生投诉或纠纷和调配安全隐患、药师误操作等风险点，通过增设智能排队环节，启用二维码，引入快速发药机、智能药架、智能拆零机等设备，构建了我院儿科门急诊智能药房服务系统。该系统使用后，门诊药房的平均调配速度由37.55s/张提升至16.97s/张（直发处方）和27.10s/张（非直发处方），急诊药房的平均调配速度由26.98s/张提升至19.61s/张（P＜0.01）；药师步行劳动强度由4～16m/张降低至2～5m/张，盘点时长由2.0～2.2h/次缩短至1.5～1.7h/次；调配差错由0.003%降至0（P＜0.01）；同时在缩短患儿家属取药等待时长、精准补充药品和帮助患儿家属理解用药信息等方面均有所提高。该系统可促进我院儿科门急诊药学服务水平的提升。 |
| ABSTRACT： | OBJECTIVE To provide reference for the construction of intelligent pharmacy and quality control of each link in medical institutions. METHODS The problems， difficulties， and risk points in the links of prescription extraction， allocation， drug resource utilization， prescription and child information verification in pediatric outpatient and emergency pharmacy of our hospital were sorted out to put forward the solutions. The pediatric outpatient and emergency intelligent pharmacy service system of our hospital was established， and its effectiveness was analyzed. RESULTS & CONCLUSIONS In response to the risk points of drug accumulation， dispensing errors， being prone to complaints or disputes， safety hazards in dispensing， and pharmacist’s incorrect operation in various stages such as payment， taking medicine and dispensing， pediatric outpatient and emergency intelligent pharmacy service system was established in our hospital by adding intelligent queuing links， enabling “QR codes”， introducing devices such as rapid dispensing machines， intelligent drug racks， and intelligent dismantling machines. After using the system， the average outpatient dispensing speed increased from 37.55 s/piece to 16.97 s/piece （direct delivery prescriptions） and 27.10 s/piece （non-direct delivery prescriptions）， and the average emergency dispensing speed increased from 26.98 s/piece to 19.61 s/piece （P＜ 0.01）. The walking distance for pharmacists to dispense prescriptions had decreased from 4-16 m/piece to 2-5 m/piece， and the inventory rate had shortened from 2.0-2.2 h/time to 1.5-1.7 h/time. The rate of dispensing error decreased from 0.003% to 0 （P＜ 0.01）. At the same time， the improvement of pharmaceutical service quality has been demonstrated in terms of shortening the waiting time of family members of child， precise drug supplement and helping family members understand medication information. The application of the system can further promote pediatric outpatient and emergency pharmacy services in our hospital. |
| 期刊： | 2023年第34卷第10期 |
| 作者： | 高艳；高翔；王岩；王芃；肖亚男；孙燕燕 |
| AUTHORS： | GAO Yan，GAO Xiang，WANG Yan，WANG Peng，XIAO Yanan，SUN Yanyan |
| 关键字： | 儿科；门急诊药房；智能药房服务系统；建立；实施成效 |
| KEYWORDS： | pediatrics； outpatient and emergency pharmacy； intelligent pharmacy service system； establishment； application |
| 阅读数： | 146 次 |
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