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全流程智能化调剂模式在住院药房中的应用
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| 篇名： | 全流程智能化调剂模式在住院药房中的应用 |
| TITLE： | Application of Whole Process Intelligent Dispensing Mode in the Inpatient Pharmacy |
| 摘要： | 目的：评价全流程智能化调剂模式在我院住院药房的应用效果，为医疗机构药学部门的智能化建设提供参考。方法：结合我院住院药房工作情况，介绍全自动单剂量锭剂分包机（ADDM）、智能半片台（ITDT）、全自动药品核对机（MDM）在口服药调剂中的使用情况，比较智能化调剂模式实施前后的工作效率提升情况和差错率，并进行智能化模式满意度调查。结果：启用ADDM+ITDT+MDM三机联动调剂模式后，我院住院药房口服药调剂时间人均缩短1.5h，药师人数减少2名；同时，借助ADDM的药品图像数据库和药袋镜像打印技术，使得目测方法得以改进，药品核对效率得以提升；ITDT的引入规范了拆零非整粒药品的管理，使用ITDT外摆非整粒药品的工作效率（以日均调剂备用盘时间为指标）较人工外摆提升了23.29％～38.93％；MDM的引入提高了智能核对效率，所有药品信息可被追溯，工作效率[以日均（总）核对时间为指标]较人工核对提升了65.64％～74.78％；三机联动全流程智能化调剂模式的差错率较ADDM+人工核对调剂模式下降了70.32％，较ADDM+MDM两联调剂模式下降了52.44％；护理人员对该模式的总体满意度为97.97％。结论：ADDM+ITDT+MDM三机联动调剂模式缩短了调剂时间，提高了工作效率，降低了差错率。 |
| ABSTRACT： | OBJECTIVE：To evaluate the application effects of wh ole process intelligent dispensing mode in the inpatient pharmacy of our hospital ，and to provide reference for the intelligent construction of pharmacy department. METHODS ：Combined with the working situation of inpatient pharmacy in our hospital ，the application of automated drug unit-dose dispensing machine （ADDM），intelligent tablet dispensing table （ITDT），medication detection machine （MDM）were introduced. The improvement of work efficiency and the error rate were compared with before and after the implementation of intelligent dispensing mode. The satisfaction survey of intelligent mode was carried out. RESULTS ：Under the dispensing linkage mode of ADDM+ITDT+MDM ， the time of oral drug dispensing was shortened by about 1.5 h per person ；pharmacists reduced by 2 persons；with the help of ADDM image database and image printing technology of drug bag ，the visual inspection method and the efficiency of drug check could be improved ；the introduction of ITDT standardized the management of dismounted drug ，and the work efficiency of dispensing dismounted drug by ITDT （daily dispensing back-up time as index ）were improved 23.29％-38.93％，compared with manual dispensing. The introduction of MDM improved the efficiency of intelligent check ，all drug information could be traced ， and the work efficiency [daily （total）check time as index] were 65.64％-74.78％ higher than that of manual check ；the error rate of three machine dispensing linkage mode was 70.32％ lower than that of ADDM+manual check and dispensing mode ，52.44％ lower than that of ADDM+MDM linkage mode ，and the overall satisfaction of nu rsing staff was 97.97％. CONCLUSIONS ： ADDM+ITDT+MDM linkage mode shortens dispensing time ， ＊副主任药师 。研究方向 ：医院药学 。电话：0571-56007192。 E-mail：61012796@qq.com improves work efficiency and decreases error rate. # 通信作者 ：副主任药师 。研究方向 ：医院药学 。电话：0571- |
| 期刊： | 2021年第32卷第14期 |
| 作者： | 孙嫣，王刚，缪霞，范新，罗震宇 |
| AUTHORS： | SUN Yan，WANG Gang，MIAO Xia，FAN Xin，LUO Zhenyu |
| 关键字： | 智能化调剂模式；全自动单剂量锭剂分包机；智能半片台；全自动药品核对机；住院药房；应用 |
| KEYWORDS： | Intelligent dispensing mode ；ADDM；ITDT； |
| 阅读数： | 586 次 |
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