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口服单剂量配方制药品自动核对模式的建立与优化
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| 篇名： | 口服单剂量配方制药品自动核对模式的建立与优化 |
| TITLE： | Construction and optimization of automatic checking mode for unit dose dispensing system of oral drugs |
| 摘要： | 目的 为医疗机构建立口服单剂量配方制药品自动核对模式、提高核对效率提供参考。方法我院成立自动核对流程再造小组，采用ECRSI法，根据取消、合并、调整、简化、增加五大原则梳理我院单剂量配方药袋的核对流程及模式，并对硬件串联不佳问题和系统假阳性报错占比过高问题进行优化。随机抽取10个病区的单剂量配方药袋，比较人工核对与优化前后自动核对模式下的工作效率和出门差错率，以及优化前后自动核对模式下的假阳性报错情况。结果建立口服药品单剂量配方药袋自动核对模式后，除心血管内科和肾脏内科外的其余8个病区的药袋平均核对用时均显著短于人工核对模式（P＜0.05）。自动核对模式进一步优化后，所有病区的药袋平均核对用时均显著短于人工核对模式（P＜0.05）；与优化前的自动核对模式比较，每袋的平均核对用时缩短了0.43s，有半数病区的药袋平均核对用时均显著缩短（P＜0.05）；同时，假阳性报错占比从优化前的96.83%下降到优化后92.76%（P＜0.05），出门差错率从人工核对模式下的0.039‰下降到优化前的0.019‰、优化后的0.015‰（P＜0.05）。结论基于ECRSI法构建的口服单剂量配方制药品自动核对模式可有效降低药袋的平均核对用时，减少出门差错，提高药师的工作效率。 |
| ABSTRACT： | OBJECTIVE To provide a reference for establishing an automatic checking mode and improving the checking efficiency of the unit dose dispensing system of oral drugs in hospital. METHODS The automatic checking process reengineering team was established in our hospital. ECRSI method was adopted to sort out the verification process and mode of drug bags for the unit dose formula of our hospital through five principles of eliminating， combining， rearranging， simplifying and increasing， and the hardware series problem and the problem of excessive system false-positive proportion were optimized. The drug bags for the unit dose formula were randomly selected from 10 wards， the efficiency and external error rates of manual check and automatic checking mode before and after optimization were compared， and the false-positive reporting failure in automatic checking mode was also compared before and after optimization. RESULTS After the establishment of the automatic checking mode of the unit dose formula for oral drugs， the average checking time of drug bags was significantly shorter than that of manual checking mode in the other 8 wards except for cardiovascular and renal departments （P＜0.05）. After the optimization of the automatic checking mode， the average checking time of drug bags in all wards was significantly shorter than that in manual checking mode （P＜0.05）. Compared with before optimization of the automatic checking mode， the average checking time of drug bags was shortened by 0.43 s， and the average checking time of drug bags in half of the wards was shortened significantly （P＜0.05）. At the same time， the false-positive proportion decreased from 96.83% before optimization to 92.76% after optimization （P＜0.05）. The external error rate dropped from 0.039‰ in manual checking mode to 0.019‰ before optimization and 0.015‰ after optimization （P＜0.05）. CONCLUSIONS Based on ECRSI method， the automatic checking mode for the unit dose dispensing system of oral drugs can effectively reduce the average checking time of drug bags， reduce external error and improve the work efficiency of pharmacists. |
| 期刊： | 2023年第34卷第16期 |
| 作者： | 邱婷婷；闫盈盈；张毓宸；张晨辰；程吟楚；孔宪伟；杨毅恒 |
| AUTHORS： | QIU Tingting， YAN Yingying，ZHANG Yuchen，ZHANG Chenchen，CHENG Yinchu，KONG Xianwei，YANG Yiheng |
| 关键字： | 单剂量配方制；ECRSI法；自动核对模式；人工核对模式；口服药品 |
| KEYWORDS： | unit dose dispensing system； ECRSI； automatic checking mode； manual checking mode； oral drugs |
| 阅读数： | 112 次 |
| 本月下载数： | 7 次 |
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