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作 者:黄丽华 罗辉霞 HUANG Lihua;LUO Huixia(Xichang Hospital of Sichuan Investment,Sichuan Provincial People′s Hospital Medical Group,Xichang,Sichuan,China 615000)
机构地区:[1]四川省人民医院医疗集团川投西昌医院,四川西昌615000
出 处:《中国药业》2024年第10期30-33,共4页China Pharmaceuticals
摘 要:目的探讨医院智慧药房建设现状。方法检索中国知网、维普、万方、PubMed、UpToDate等数据库,获取2015年1月至2022年12月医院智慧药房建设相关文献,分析国内外医院智慧药房建设现状和差距,国内医院智慧药房建设难点,并从设备、环境、人员三方面探讨风险管控策略。结果共获得文献1520篇,筛选得高质量文献37篇。文献显示,我国医院智慧药房建设起步较晚,相应设备涉及智能药柜、处方前置审核系统、自动发药机等,较国外部分发达国家还存在自动化药品供应设备普及率较低、前置审方软件质量参差不齐、临床药学系统功能局限等差距。此外,我国医院智慧药房建设还存在资金需求大、缺乏统一建设和验收标准等问题,且随着智慧药房的广泛使用,设备、人员、环境等方面的风险也不容忽视。针对以上风险点,许多传统药房的管理方法(如6S管理法、PDCA管理法、品管圈等)同样也适用于智慧药房的管理。结论智慧药房的建设和使用能更好地实现药学服务的高效率、高质量、高精准度。国内医院智慧药房的建设和普及需要资金支持及相关监管标准的完善和出台。Objective To investigate the current status of smart pharmacy construction in hospitals.Methods The relevant studies on smart pharmacy construction in hospitals in the CNKI,VIP,WanFang,PubMed,UpToDate and other databases from January 2015 to December 2022 were searched.The current status in the smart pharmacy construction in domestic and foreign hospitals and their gaps were analyzed,as well as the difficulties in the smart pharmacy construction of hospitals in China.The risk control strategies were explored from equipment,environment and personnel.Results A total of 1520 studies were obtained,and 37 high-quality studies were screened.The studies showed that the smart pharmacy construction of hospitals in China was relatively late,the corresponding equipment involving smart drug cabinets,prescription pre-review systems,automatic dispensing machines and so on.Compared with some developed countries abroad,there were still gaps in the low popularity of automated drug supply equipment,uneven quality of prescription pre-review software,and limited functionality of clinical pharmacy systems in our country.In addition,there were still some problems in the smart pharmacy construction of hospitals in China,such as high funding requirements,lack of unified construction,checking and acceptance standards,and with the widespread application of smart pharmacies,the risks in equipment,personnel,environment and other aspects should not be ignored.Many traditional pharmacy management methods(such as 6S management,PDCA management,quality control circle)were also applicable to the management of smart pharmacies in response to the above risk points.Conclusion The construction and application of smart pharmacies can realize the high-efficiency,high-quality and high-accuracy pharmaceutical care.The construction and popularization of smart pharmacies in domestic hospitals require funding support,the improvement and promulgation of relevant regulatory standards.
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