我院门诊自动配药系统的应用实践及优化-中国药房.PDFVIP

我院门诊自动配药系统的应用实践及优化 ＊ # 张志豪 ，王钰琦，廖丽文，洪晓丹，杨 威（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）04-0507-03 DOI 10.6039/j.issn. 1001-0408.2016.04.24 摘 要 目的：通过门诊自动配药系统的应用实践及优化，提高门诊药房的工作效率和服务水平。方法：对我院门诊自动配药系 统应用过程中出现的系统识别问题、系统硬件问题和药房布局及管理问题等进行分析总结，并进行相应的优化；通过与优化前相 关指标进行比较评价优化效果。结果与结论：通过实施包括在系统中合并相同患者的处方、改进软件与硬件的匹配、合理分配预 配和实时调配窗口数、增加员工培训及考核等一系列优化措施后，药房运作效率及配发药的准确率整体提高。与优化前比较，差 错率下降60％（1.7‰→0.7‰），患者候药时间缩短40％（15min→8.5min ），药师劳动强度大幅降低，提升了药学服务质量和患者的 满意度。 关键词 门诊药房；自动配药系统；实施；优化 Practice and Optimization of Automatic Drug Dispensing System in Outpatient Pharmacy of Our Hospital ZHANG Zhihao ，WANG Yuqi ，LIAO Liwen ，HONG Xiaodan ，YANG Wei （Dept. of Pharmacy ，the First Affiliat- ed Hospital of Sun Yat-sen University ，Guangzhou 510080，China ） ABSTRACT OBJECTIVE ：To improve the work efficiency and service of outpatient pharmacy by implementing automatic dis- pensing system and optimizing work flow. METHODS ：On the basis of problems in the practical work ，appeared in the implementa- tion process of automatic dispensing system ，such as system identification ，hardware problem ，arrangement and management of pharmacy were analyzed and summarized and optimized. The optimization effects were evaluated by comparing relative indicators before optimization. RESULTS CONCLUSIONS ：Through implementing a series of measures ，such as consolidating similar pre- scriptions ，improving the compatibility between software and hardware ，allocating pre-dispensing rationally ，adjusting the number of service windows timely and increasing regular employee training and examination ，pharmacy service efficiency and the accuracy of drug dispensing have been improved on the whole ；compared with before optimization ，error rate is decreased by 60％（1.7‰→ 0.7‰），the time of patient waiting for getting medicines is shortened by 40％（15min→8.5min ），a