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前置智能化精准加药及核对系统在全自动单剂量分包中的应用
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| 篇名： | 前置智能化精准加药及核对系统在全自动单剂量分包中的应用 |
| TITLE： | Application of a pre-intelligent precision dosing and verification system in automatic single-dose packaging |
| 摘要： | 目的 创新性地应用前置智能化精准加药及核对系统（后文简称“系统”），为住院药房高水平“智慧化”改造提供参考。方法分析全自动药品单剂量分包机（ATC）+智能半片台（ITDT）+全自动药品核对机（MDM）三串联调剂模式存在的不足。应用系统并采用扫码核对方式优化预加药管理、整片药品外摆流程和ATC临时加药管理；比较系统应用前后各8个月内的加药时间和人力成本、分包差错等情况。结果三串联调剂模式在人工加药环节对差错风险的规避能力较弱，在核对环节也存在误差。通过创新性地应用该系统，升级了预加药管理，优化了整片药品外摆流程，完善了ATC临时加药管理。与系统应用前比较，系统应用后平均每个药品的预加药时间、整片药品外摆时间和ATC临时加药时间均显著缩短（P＜0.001），且所需药师由原来的2名减少至1名；ATC差错率由0.220‰下降至0.029‰（P＜0.001），其中药师人为因素（预加药品错误、ITDT加药错误和ATC临时加药错误）导致的差错率由0.116‰下降至0.001‰（P＜0.001），机器原因导致的差错率由0.096‰下降至0.023‰（P＜0.001）。结论该创新融合模式有效提升了住院药房工作效率及质量，加强了药品效期及库存等精细化管理，节省了时间和人力成本，提高了药品分包的准确性，切实保障了患者的用药安全。 |
| ABSTRACT： | OBJECTIVE To innovatively apply the pre-intelligent precision dosing and verification system （hereinafter referred to as “the system”）， and to provide a reference for the high-level “intelligent” transformation of inpatient pharmacy. METHODS The limitations of the triple-serial dispensing mode， which comprised the automatic medicine packaging machine （ATC）， intelligent tablet dispensing table （ITDT） and medication detection machine （MDM）， were analyzed. The application of the system and the adoption of the barcode scanning verification method optimized the pre-dosing management， whole-tablet drug dispensing process and ATC temporary dosing management. The comparative analysis was conducted to assess dosing time， labor cost and packaging error of the eight-month period， before and after the system application. RESULTS The triple-serial dispensing mode had a weak ability to avoid error risks in the manual dosing stage， and also had errors in the verification stage. Through the innovative application system， the pre-dosing management had been upgraded， the whole-tablet drug dispensing process had been optimized， and the ATC temporary dosing management had been improved. The average time required for each drug for pre-dosing， whole-tablet drug dispensing and ATC temporary dosing was significantly shortened after the application of the system， compared with before the application of the system （P＜0.001）. The number of pharmacists was reduced from two to one. The error rate of ATC decreased significantly from 0.220‰ to 0.029‰ （P＜0.001）. Specifically， the rate of pharmacist-related errors （pre-dosing error， ITDT dosing error， and ATC temporary dosing error） decreased from 0.116‰ to 0.001‰ （P＜0.001）， and machine-related errors decreased from 0.096‰ to 0.023‰ （P＜0.001）. CONCLUSIONS This innovative integration mode greatly improves the working efficiency and quality of inpatient pharmacy. It enhances refined management of drug expiration and inventory， saves time and labor costs， improves the accuracy of drug dispensing， and ensures patient medication safety. |
| 期刊： | 2025年第36卷第17期 |
| 作者： | 张润赞；卢钧煜；洪蕾；李留成；应杰 |
| AUTHORS： | ZHANG Runzan，LU Junyu，HONG Lei，LI Liucheng，YING Jie |
| 关键字： | 住院药房；前置智能化加药；精准加药；系统核对 |
| KEYWORDS： | inpatient pharmacy； pre-intelligent dosing； |
| 阅读数： | 9 次 |
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