我院单剂量口服摆药药品损耗情况分析及改进措施  

Analysis and Improvement Measures of Medicine Loss of Single Oral Dose Dispensing in Our Hospital

作　　者：许晶晶[1] 袁明奎[1] 李景庄[1] 樊萍[1] 

机构地区：[1]新疆医科大学第一附属医院药学部,乌鲁木齐830054

出　　处：《中国药房》2013年第21期2010-2013,共4页China Pharmacy

摘　　要：目的:为减少药品损耗提供参考。方法:回顾性分析我院2011年7月-2012年6月单剂量口服摆药过程中发生的药品损耗情况并进行归纳整理,总结经验并制订相关措施予以改进,再评价成效。结果与结论:损耗原因可归为拆零剥药损耗(22.6%)、分劈操作损耗(25.1%)、包药机包药损耗(32.1%)及拆零后药品保管不当或过期损耗(20.2%)。通过建立完善的工作制度和操作规范、对人员进行培训考核、改善包药机的工作环境、加强拆零药品的管理等改进措施,使损耗片(粒)数占总摆药片(粒)数的比例从3.72‰降为1.55‰。建议药师在进行单剂量口服摆药过程中,严格规范拆药流程,总结经验,针对不同药片实施不同的拆零与分劈方法;加强对拆零药品效期与质量的管理;定期加强对包药机的养护与检修,减少机器故障造成的药品损耗。OBJECTIVE：To provide reference for minimizing drug loss.METHODS：By retrospective analysis,medicine loss of single oral dose dispensing in our hospital during Jul.2011-Jun.2012 were summarized,and the experiences were also summarized to formulate related measures,and then the effect of measures were re-evaluated.RESULTS CONCLUSIONS：The causes of medicine loss can be classified into four types：dismounting peeling medicine loss（22.6%）,splitting operating loss（25.1%）,medicine packaging machine loss（32.1%）,incorrect drug storage or out of date after dismounted（20.2%）.The ratio of destroyed tablets decreased from 3.72‰ to 1.55‰ through related improvement measure,including establishing perfect work system and operation standard,carrying our staff training and examination,improving working environment of medicine packaging machine,enhancing management of dismounted medicine,etc.It is suggested that pharmacists should strictly regulate the dismounting medicine process,sum up experience and implement different drugs dismounting and splitting method according to different pills during single oral dose dispensing process;strengthen validity and quality management of dismounted medicines;regularly strengthen the maintenance and overhaul of medicine packaging machine to reduce medicine loss caused by machine stoppage.

关 键 词：单剂量口服摆药 药品损耗 分析 改进 

分 类 号：R95[医药卫生—药学]