“木桶定律”在我院自动包药机管理中的应用.pdfVIP

“木桶定律”在我院自动包药机管理中的应用 ＊ 何彩婷 ，廖丽文，高 翔（中山大学附属第一医院药学部，广州 510080） 中图分类号 R95 文献标志码 A 文章编号 1001-0408（2016）22-3105-04 DOI 10.6039/j.issn. 1001-0408.2016.22.24 摘 要 目的：改善自动包药机的管理，提高药品调剂管理质量。方法：应用“木桶定律”中的短板效应分析我院自动包药机在软 件、硬件及管理上的不足，并进行针对性的改进，评价改进后效果。结果与结论：针对包药机软件功能的不足，增设了可自动导出 包括加药拆零信息报表、显示重复医嘱信息报表等更多报表类型和项目的功能模块；针对硬件方面的频繁停机进行了调整药盒高 度和使用备用药槽等改进措施；针对管理缺陷导致的包药机账物不符进行了固定人员岗位、规范加药信息录入工作模式等改进措 施。与改进前比较，改进后摆药过程中停机次数由13.8次/d 减少至2.3次/d （减少83.3％），停机时间由97.4min/d 缩短至9.6min/d （缩短90.14％），分包速率由14.3包/min 提高至23.33包/min （提高62.9％）；药品库存管理更加规范。应用“木桶定律”对包药机进 行改进，提高了药品调剂管理质量。 关键词 自动包药机；木桶定律；软件；硬件；调剂管理 Application of “Cask Theory”in the Management of Automatic Medicine Packaging Machine in Our Hos- pital HE Caiting ，LIAO Liwen ，GAO Xiang （Dept. of Pharmacy ，the First Affiliated Hospital of Sun Yat-sen Universi- ty ，Guangzhou 510080，China ） ABSTRACT OBJECTIVE ：To improve the management of automatic medicine packaging machine （ATC ），so as to improve drug dispensing management. METHODS ：The short-plate effect of “cask theory”was used to analyze the deficiency of ATC in soft- ware ，hardware and management ；pertinent improvement was conducted and its effects were evaluated. RESULTS CONCLU- SIONS ：Considering the deficiency of ATC software function ，automatic form export function had been set up additionally ，involv- ing form of adding and dismounting drug information ，form of repeated medical order. Some improvement were carried out for fre- quent machine halt in hardware ，such as adjusting the height of drug box and using spare drug groove ；some carried out for incon- sistency between the accounts and drugs due to management defects ，such as fixing post ，improving adding drug information input. Compared with before improvement ，daily times of machine halt during packaging had cut from 13.8 times to 2.3times （decreased by 83.3％）；daily total time of machine halt had shortened from 97.4 minute