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机构地区:[1]广东省人民医院(广东省医学科学院)药学部,广州510080
出 处:《中国药房》2017年第28期4029-4032,共4页China Pharmacy
摘 要:目的:优化自动发药机内药品储位管理,提高发药效率。方法:计算自动发药机内药品的轨道利用率,通过设定轨道利用率最佳值来调整自动发药机内药品的品种和储放轨道数以持续优化储位管理。统计分析优化前(2016年3-6月)、后(2016年7-10月)自动发药机及全部实现自动化调配的实时发药窗口的发药率等并进行比较。结果:设定轨道利用率最佳值为67%,大于此值的药品增加储放轨道数,小于此值的药品减少储放轨道数或撤出发药机;从2016年3-10月,我院2台发药机共调整储放品种75个、127条轨道,储放数增加158盒;与优化前(3月)比较,优化后(10月)自动发药机发药率从73.7%上升至81.3%,实时发药窗口发药率从39.8%上升至51.8%(P<0.05)。结论:采用轨道利用率算法调整机内药品储放品种和轨道数,能有效、持续地优化机内药品储位,增加机内药品的储放量,使自动化设备得到充分利用,提高发药效率。OBJECTIVE:To optimize the drug storage position management in automatic dispensing machine,and improve the dispensing efficiency. METHODS:The orbital utilization rate of drugs in automatic dispensing machine was calculated,the optimum value of orbital utilization rate was set up to adjust the drug varieties and numbers of storage tracks for continually optimizing the storage position management. Dispensing rates of automatic dispensing machines and real-time dispensing windows with fully automated deployment before(Mar.-Jun. 2016) and after(Jul.-Oct. 2016) optimization were statistically analyzed and compared.RESULTS:The optimum value of orbital utilization rate was set up as 67%. Drugs more than the value were increased the numbers of storage tracks,while drugs less than the value was decreased the numbers of storage tracks or removed out of dispensing machines. From Mar. to Oct. 2016,2 dispensing machines in our hospital adjusted 75 varieties and 127 orbits in total,storage numbers was increased by 158 boxes. Compared with before optimization(Mar.),dispensing rate of automatic dispensing machines was increased from 73.7% to 81.3% after optimization(Oct.),dispensing rate of real-time dispensing window was increased from39.8% to 51.8%(P〈0.05). CONCLUSIONS:Applying the orbital utilization rate algorithm for adjusting drug variety and track number in machine can effectively and continually optimize the drug storage position,increase the storage capacity in machine,make full use of automatic equipments and improve the dispensing efficiency.
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