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门诊药房现代化药品物流与调剂体系的建设实践
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| 篇名： | 门诊药房现代化药品物流与调剂体系的建设实践 |
| TITLE： | |
| 摘要： | 目的：介绍我院门诊药房进行现代化药品物流与调剂体系建设的实践经验，为现代化门诊药房的建设提供借鉴。方法：通过二级库的设立和药品供应链管理系统、电子化药品存储系统的建立完成了药品物流体系的建设；通过对不同功能的自动发药机进行合理组合以实行不同模式相结合的调配方式、自动化药房管理系统的建立和自动化药房系统故障应急预案的制订完成了药品调剂体系的建设；通过比较各系统应用前、后的相关指标对我院药品物流与调剂体系建设效果进行评价。结果：借助药品供应链管理系统，可实现药品采购信息的自动采集和计算，采购频次和工作用时分别减少了50％和75％，采购计划的准确率提升了12.5％；借助电子化药品存储系统，可实现药品的位置和数量的实时获取，使补药和盘点的时间分别减少了67％和58％，手工调配处方的时间缩短了68％，人工调配的内差发生率降低了76.7％；在新的药品调剂体系下，处方能够实现自动智能分配，处方处理的自动化率达到了72.7％，患者平均取药等候时间控制在10 min以下。结论：我院建设的现代化药品物流与调剂体系，提高了药师的工作效率和药学服务质量，为实现药学服务模式的转变奠定了基础。 |
| ABSTRACT： | OBJECTIVE： To introduce the experience on how to build modern pharmaceutical logistics and dispensing system in outpatient pharmacy， and to provide reference for the construction of modern outpatient pharmacy. METHODS： The pharmaceutical logistics system could be constructed by setting up secondary warehouse， pharmaceutical supply chain management system （PSCMS） and electronic drug storage system （EDSS）； pharmaceutical dispensing system could be constructed through allocating automatic drug dispensing machine with different functions reasonably to carry out dispensing way of different modes combination， building automated pharmacy management system and developing emergency plan for the system fault of the automated pharmacy. The effects of logistics and dispensing system in our hospital were evaluated through comparing related index before and after the application of the systems. RESULTS： With the aid of PSCMS， the drug purchase information could be collected and calculated automatically， the frequency and working time of the purchase were reduced by 50％ and 75％ respectively， and the accuracy of the purchase plan was increased by 12.5％； with the EDSS， the position and number information of the drugs could be acquired immediately， and the complementation and inventory time were decreased by 67％ and 58％ respectively； the time for manual dispensing was reduced by 68％， and the incidence of internal mistakes was decreased by 76.7％； under new dispensing system， the prescription could be distributed automatically and intelligently， the rate of automatic prescription processing was increased to 72.7％， and the average waiting time to pick up drugs was controlled to below 10 min. CONCLUSIONS： The pharmacists’ working efficiency and the quality of pharmaceutical care have been improved by the modern pharmaceutical logistics and dispensing system， which settle the foundation for the transformation of the pharmaceutical care mode. |
| 期刊： | 2016年第27卷第22期 |
| 作者： | 邬蓉，徐德铎，李志文，陶霞，陈万生 |
| AUTHORS： | WU Rong，XU Deduo，LI Zhiwen，TAO Xia，CHEN Wansheng |
| 关键字： | 门诊药房；药品物流；药品调剂；体系建设 ；药品供应链管理系统；电子化药品存储系统；自动化药房管理系统 |
| KEYWORDS： | Outpatient pharmacy； Pharmaceutical logistics； Pharmaceutical dispensing； System construction； Pharmaceutical supply chain management system； Electronic drug storage system； Automated pharmacy management system |
| 阅读数： | 279 次 |
| 本月下载数： | 8 次 |
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