4M1E精细化管理法在缩短门诊药房长期处方调配时间中的应用  

Application of 4M1E Refined Management Method in Reducing Dispensing Time of Long-term Prescription in Outpatient Pharmacy

作　　者：沈海娟[1] 秦琼[1] 魏巍[1] SHEN Haijuan;QIN Qiong;WEI Wei(Department of Pharmacy,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院药学部,苏州215006

出　　处：《医药导报》2024年第3期476-480,共5页Herald of Medicine

摘　　要：目的探索实施长期处方政策的情况下,门诊药房采用4M1E精细化管理法在缩短门诊药品调配时间中的效果。方法选取苏州大学附属第一医院人机混合调配窗口实施前(2022年1—6月)、人机混合调配窗口实施后(2022年7—12月)处方各10000张,比较实施前后门诊药房人机混合调配窗口单张处方药品调配时间、高峰期窗口调配处方量及处方药品数、智能化设备使用情况及实施前后患者满意度。结果人机混合调配窗口实施前后,单张处方药品调配时间由每张(96.88±1401.17)s降低至(55.84±526.24)s(P<0.01);高峰时段(9:30—11:30)窗口处方调配处方量由(135.20±21.06)张·(2 h)^(-1)增加至(147.19±21.24)张·(2 h)^(-1),处方药品数由(871.74±215.61)个·(2 h)^(-1)增加至(1008.53±267.87)个·(2 h)^(-1);处方直发率及设备自动化率均大幅提高;门诊患者满意度明显高于管理前,均差异有统计学意义(P<0.05)。结论长期处方压力下,医院门诊药房采用4M1E精细管理法后,能够大幅度缩短处方调配时间,提高患者满意度。Objective To investigate the effectiveness of 4M1E refined management method in reducing dispensing time of outpatient prescription in outpatient pharmacies under the implementation of a long-term prescription policy.Methods The hospital started to implement 4M1E refinement management in July 2022.Ten thousand prescriptions were randomly selected for each of the pre-implementation(from January to June 2022)and post-implementation(from July to December 2022)human-machine hybrid dispensing windows.The dispensing time of a single prescription,the volume of prescriptions dispensed and the number of drugs prescribed during peak periods,the use of intelligent equipment,and patient satisfaction before and after implementation were compared.Results After implementation,the single prescription drug dispensing time at the mixed human-machine dispensing window was reduced from(96.88±1401.17)s to(55.84±526.24)s(P<0.01);The number of prescriptions dispensed in the window increased from(135.20±21.06)to(147.19±21.24)prescriptions per 2 h,and the number of drugs prescribed increased from(871.74±215.61)to(1008.53±267.87)prescriptions per 2 h during peak hours.The rate of straight prescription and the rate of equipment automation have been greatly improved.Outpatient satisfaction was higher than before management.The data showed statistical differences(P<0.05).Conclusion Under long-term prescription pressure,hospital outpatient pharmacies can greatly reduce prescription dispensing time and improve patient satisfaction after applying the 4M1E fine management method.

关 键 词：长期处方 门诊药房 4M1E精细化管理法 处方调配 

分 类 号：R95[医药卫生—药学]