半自动摆药模式的设计、开发及应用  

Design,Development and Application of Semi-automatic Drug Dispensing Mode

作　　者：王衍洪[1] 尹庆和[1] 江小莹[1] 黎秀平 何珊娜[1] 陈彬 江四海 曾丽萍[1] 邓辉红 石峰 

机构地区：[1]中山大学附属东华医院,广东东莞523110 [2]东莞汇达电子设备有限公司,广东东莞523061

出　　处：《中国药房》2015年第19期2689-2691,共3页China Pharmacy

基　　金：2012年广东省东莞市医疗卫生科技计划一般项目(No.201210515046247)

摘　　要：目的:建立一种成本介于全自动摆药和手工摆药之间、工作效率较高、操作规范简便、符合国家法规的新型半自动摆药模式。方法:自行设计了一种基于摆药单信息可自动打印在药袋上,实现自动装药、自动封装和自动出袋的半自动摆药系统,其摆药系统包括硬件(装药转盘和装药漏斗等机械结构、传动器件等)和软件控制系统(与医院信息系统的接口程序、微控制单元软件和计算机软件等)。通过试运行、正式运行以及统计3名药剂人员分别采用手工药袋摆药和半自动摆药模式对相同内容的18张口服摆药单进行摆药的消耗时间和摆药差错数,以评价半自动摆药系统的应用效果。结果:自2012年5月试运行及2012年9月正式运行起,该系统运行情况总体正常,获得实用新型专利;两种摆药模式下总摆药消耗时间分别为481、397 min(t=6.82,P<0.001),差错数分别为25、7次(χ2=9.353 8,P=0.002 2),差异均具有统计学意义。结论:与手工药袋摆药比较,半自动摆药模式可提高效率和降低摆药差错数,而且成本低于全自动摆药系统,故具有一定的推广应用价值。OBJECTIVE：To establish a new semi-automatic drug dispensing mode,with proper cost,which falls in between full-automatic drug dispensing mode and manual drug dispensing mode,good work efficiency,standard and simple operation method and meets national laws and regulations.METHODS：A semi-automatic drug dispensing system was designed,in which the information in the drug dispensing sheet could be automatically printed on the drug bag,and automatic bagging,packaging and delivery of drugs were realized.Such drug dispensing system included hardware（mechanical structures such as drug turntable and drug funnel,transmission device,etc.）and software control systems（the program of interface with hospital information system,micro control unit software,computer software,etc.）.Through commissioning,formal operation and statistics,based on 18 oral drug dispensing sheets with the same contents,calculated the time of drug dispensing and the number of drug dispensing errors by 3 pharmacists respectively in manual drug bag dispensing mode and semi-automatic drug dispensing mode,to evaluate the effect of the semi-automatic drug dispensing system.RESULTS：From commissioning in May 2012 to formal operation in September 2012,the system operated normally and utility model patents were obtained.In the two modes,the total time of drug dispensing was 481 and397 min（t=6.82,P0.001）,the numbers of drug dispensing errors were 25 and 7（χ2=9.353 8,P=0.002 2）,respectively.There was statistical significance.CONCLUSIONS：The semi-automatic drug dispensing system has higher efficiency and less number of drug dispensing errors compared with manual drug bag dispensing mode and lower cost compared to full-automatic drug dispensing system.It deserves promotion.

关 键 词：手工药袋摆药 半自动摆药 工作效率 摆药差错 

分 类 号：R95[医药卫生—药学]