专科医院门诊药房药品快速配药区的设置与评估  

Development and Evaluation of the Rapid Dispensing Area in the Outpatient Pharmacy of the Special Hospital

作　　者：范文穗 李巍[1] 梁力勉 郑优柔 简炎林[1] 

机构地区：[1]深圳市第三人民医院药剂科,广东深圳518112

出　　处：《中国药房》2015年第10期1377-1380,共4页China Pharmacy

摘　　要：目的:优化门诊药房药品仓储摆放设置,缩短药品调剂时间。方法:调取我院信息系统某日门诊处方数据,按EIQ(即订单、品项、数据)-ABC分类管理方法对药品分级;依据订货数量(IQ)-ABC和订货次数(IK)-ABC的分类结果按药品的重要程度和配药频次大小分别定出Aa、Bb、Cc类药品,由此设置各类药品存储位置;比较分级前后某一周患者的平均取药时间以评价分级后成效。结果:将配发数量和频次都较高的Aa类药品设置在快速配药区、根据本院专科用药特点优化Bb类药品货位后,取药时间短于3 min的处方数占总处方数百分比较分级之前明显提高(61.52%vs.20.29%);取药时间长于10 min的处方数占总处方数百分比则明显下降(11.51%vs.30.91%);患者在取药高峰期等候时间明显缩短(4.45 min vs.9.55 min)。结论:基于EIQ-ABC分类管理设置的药品快速配药区提高了门诊药房配药效率,缩短了患者的取药等候时间。OBJECTIVE：To shorten the waiting time for drug dispensing by optimizing the placement of the drugs stored in the outpatient pharmacy. METHODS：According to the outpatient prescriptions data retrieved from the HIS of our hospital one day,EIQ（order entry,item,quantity）-ABC category method was applied for the drug classification. Class Aa,Bb and Cc drugs were defined on the basis of their importance and dispensing frequencies pursuant to the IQ-ABC and IK-ABC classification results,whereby the storage positions of all kinds of drugs were arranged. The average time it takes for patients to get drugs within one week before and after the above-mentioned classification was compared so as to evaluate the results after such classification. RESULTS：After class Aa drugs with greater quantity and higher frequency were placed in the rapid dispensing area,and the placement of class Bb drugs were optimized according to the characteristics of the prescriptions of our hospital,the number of the prescriptions with the waiting time for getting drugs shorter than 3 min was much more than before（61.52% vs. 20.29%）,while the number percentage of those with the waiting time longer than 10 min was far less than before（11.51% vs. 30.91%）;the patient waiting time in rush hours was also significantly reduced（4.45 min vs. 9.55 min）. CONCLUSIONS：In the EIQ-ABC category method-based rapid dispensing area in the outpatient pharmacy,the efficiency of drug dispensing can be improved and thus the patient waiting time for getting drugs be shorten.

关 键 词：门诊药房 EIQ法 ABC分类法 快速配药区 

分 类 号：R95[医药卫生—药学]