门诊智慧化药房的优化实践  

Optimization Practice of Intelligent Outpatient Pharmacy in Hospital

作　　者：刘雅瑞 李红丽[1] 李亮霞 郑萌 雷婕 陈楚和 卢圆圆 LIU Yarui;LI Hongli;LI Liangxia;ZHENG Meng;LEI Jie;CHEN Chuhe;LU Yuanyuan(Department of Pharmacy,Hubei Maternal and Child Health Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430070,China;Wuhan COBOT Technology Co.,Ltd.,Wuhan 430074,China)

机构地区：[1]华中科技大学同济医学院附属湖北省妇幼保健院药学部,武汉430070 [2]武汉库柏特科技有限公司,武汉430074

出　　处：《医药导报》2023年第5期665-669,共5页Herald of Medicine

基　　金：湖北省自然科学基金资助项目(2021CFB490)。

摘　　要：目的 对智慧化药房进行优化,以提高药房工作效率,提升药学服务品质。方法 调整药房布局,调整药品分布及加药量,引进智能二级库并调整二级库与发药机之间匹配的传输率,优化配药单和制定应急预案等。结果 智慧化药房系统优化后,加药时间由优化前每周(9.14±0.73) h降低为每周(7.64±0.95) h(P=0.045 9);患者等待时间为3 min以下的比例由优化前35.4%升高至44.3%(P<0.01);自动发药系统缺药率由优化前0.272%降低至0.068%(P<0.01);智能二级库补药过程中的卡药次数由优化前4周发生42次降低为4周发生16次。结论 智慧化药房的优化,减轻了药师工作量,提高了工作效率,减少了患者等待时间,提高了药学服务品质。Objective Optimize the intelligent pharmacy to improve the efficiency of outpatient pharmacy and the quality of pharmaceutical service.Methods To optimize the indicators in the construction of an intelligent pharmacy through adjusting pharmacy layout,drug distribution,and amounts,introducing the intelligent and secondary drug storeroom and changing the transfer rate between the automatic dispensing machine,optimizing the drug dispensing list,and making emergency plans.Results After optimizing the intelligent pharmacy system,the time of drug placement decreased from(9.14±0.73)h per week to(7.64±0.95)h per week(P=0.0459).The waiting time of patients also decreased,with a significant increase in the proportion of patients waiting less than 3 min(35.4%vs.44.3%,P<0.01);The lack of drug of the automatic dispensing machine system decreased obviously(0.272%vs.0.068%,P<0.01).The number of drugs stuck in the process of the intelligent secondary library decreased from 42 in the first four weeks to 16 in the fourth week.Conclusion The optimization of intelligent pharmacy has reduced the workload of pharmacists,improved work efficiency in the outpatient pharmacy,reduced the waiting time of patients,and improved the quality of pharmaceutical service.

关 键 词：智慧化药房 智能二级库 自动发药机 门诊药房 

分 类 号：R95[医药卫生—药学]