基于缩短高峰时段取药等候时间的门诊药房智能管理优化实践  

Optimization of intelligent management of outpatient pharmacy based on reducing patients'waiting time for drugs during peak hours

作　　者：汪铁山[1] 林志成[1] 杜展莹 唐千捷 Wang Tieshan;Lin Zhicheng;Du Zhanying;Tang Qianjie(Department of Pharmacy,Guangdong Women and Children Hospital,Guangzhou 511442,China)

机构地区：[1]广东省妇幼保健院药学部,广州511442

出　　处：《国际医药卫生导报》2021年第10期1576-1579,共4页International Medicine and Health Guidance News

摘　　要：目的对门诊药房进行医院信息系统(HIS)功能改进和智慧药房建设优化实践,缩短高峰时段患者取药等候时间,为妇幼专科医院提供参考。方法采用回顾性调查分析,选取2017年至2019年每年12月门诊药房处方发药工作情况为评价指标观察期,分别比较分析HIS功能改进前后、智慧药房建设优化前后配药上屏时间在不同区间人次的上屏率的差异;进一步比较分析在门诊药房一系列智能管理优化前后高峰时段的平均配药上屏时间、平均取药等候时间的差异。结果通过包括配药上屏时间统计和色标管理、药师工作效率统计在内的HIS功能改进,以及引进半自动数片机和自动化发药机的智慧药房建设优化,“0 min<配药时间≤10 min”区间配药上屏率由95%提升至99%以上,差异有统计学意义(P<0.05);高峰时段药师配药上屏时间由(5.69±1.65)min缩短为(2.52±0.27)min,患者取药等候时间由(9.11±1.00)min缩短为(7.20±0.57)min,差异均有统计学意义(均P<0.05)。结论通过门诊药房智能管理优化改进,缩短了高峰时段患者取药等候时间,提高了药师工作效率,实践经验有效可行。Objective To reduce the waiting time for drugs of patients during peak hours by improving the Hospital Information System(HIS)functions and optimizing automation equipment of outpatient pharmacy,and to provide experiences for women and children hospitals.Methods We used retrospective statistical analysis and chose the prescriptions of outpatient pharmacy in every December from 2017 to 2019 as the observation period for the evaluation indexes.We compared the impacts of drug-dispensing and screen-recording rates in different time periods(more or less than ten minutes)by improving HIS functions and optimizing automation equipment of outpatient pharmacy,respectively.Furthermore,we compared the impacts of drug-dispensing time and waiting time for drugs during peak hours by optimizing intelligent management of outpatient pharmacy.Results Through improving the HIS functions,including color label management,statistics of drug-dispensing time and the work efficiency of pharmacists,combined with optimizing automation equipment with semi-automatic counting machine and automatic drug-dispensing machine,the drug-dispensing and screen-recording rates in"0 min<drug-dispensing time≤10 min"time interval was increased from 95%to over 99%(P<0.05).The pharmacists'drug-dispensing and screen-recording time was reduced from(5.69±1.65)min to(2.52±0.27)min during peak hours,the patients'waiting time for drugs was reduced from(9.11±1.00)min to(7.20±0.57)min(both P<0.05).Conclusions Through improving the HIS functions and optimizing automation equipment of outpatient pharmacy,the patients'waiting time for drugs during peak hours has been reduced,and the work efficiency of pharmacists has been improved.The practical experiences of optimization of intelligent management of outpatient pharmacy are effective and feasible.

关 键 词：医院信息系统 功能优化 取药等候时间 门诊药房 

分 类 号：R95[医药卫生—药学]