我院全自动包药机的风险控制.PDFVIP

我院全自动包药机的风险控制 朱慧丹＊，许俊信，钱建畅（温州医学院附属第一医院，浙江 温州 325000） 中图分类号 R95 文献标志码 A 文章编号 1001-0408（2013）37-3495-03 DOI 10.6039/j.issn.1001-0408.2013.37.15 摘 要 目的：介绍某院全自动包药机风险控制的经验。方法：从医师开具医嘱、自动包药机使用、药师操作及护士分药各环节等 对该院全自动包药机的风险事件进行控制及总结分析。结果与结论：针对各环节的风险，分别采取了设定全自动包药机的药物填 充量及预警量、药盒标注清晰规范、定期维护机器，药师各项操作流程明确分工、护士按餐次分药等措施；与控制前比较，各环节发 生的错误分包次数均有减少。因此，对全自动包药机使用中的各项风险进行控制，可提高用药安全性。 关键词 全自动包药机；风险控制；用药安全 On Risk Control of Automatic Medicine Packing Machine in Our Hospital ZHU Hui-dan，XU Jun-xin，QIAN Jian-chang（The First Affiliated Hospital of Wenzhou Medical College，Zheji- ang Wenzhou 325000，China） ABSTRACT OBJECTIVE：To introduce the experience of risk control of automatic medicine packing machine in our hospital. METHODS：The risk events of the automatic medicine packing machine were controlled，summarized and analyzed in the aspect of doctor’s order，the application of machine，the operation of pharmacist and dispension by nurse. RESULTS CONCLUSIONS： Compared with before risk control，the times of wrong packing events has been decreased significantly by measures，such as set- ting the medicine filling quantity and warning capacity of automatic medicine packing machine，the clarity of drug box mark，regu- lar maintenance of the machine，the clear division of labor in the operation flow，dispensing drug by nurses according to the num- ber of meals. So，the risk control of automatic medicine packing machine can improve the safety of drug use. KEY WORDS Automatic medicine packing machine；Risk control；Safety of drug use 我院药剂科（简称“我科”）自引进全自动包药机单剂量配 模式，虽然可减少发药差错及药品被污染的机会，但同时也存 发药品以来，经实践证明大大减轻了药师和护士的劳动强度， 在一些不足，如设备价格高昂，药品拆包装后不易保存，药片 较大程度地提高了工作效率。另一方面作为一种新型的单剂 不易盘点，不能实现散剂、颗粒剂及液体制剂的摆药，药盒专 量自动分包设备，全自动包药机摆药代替了传统手工摆药的 属性强同时数量有限，易发生错误分包等缺点。鉴于口服药 ????