医院药房口服单剂量调配模式的探索与实践  

Exploration and Practice of the Oral Single-Dose Dispensing Model in the Inpatient Pharmacy

作　　者：杨丽萍 商然 王海玲 杨帆[1] 刘静[1] 赵志刚[1] Yang Liping;Shang Ran;Wang Hailing;Yang Fan;Liu Jing;Zhao Zhigang(Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院,北京100070

出　　处：《中国药事》2024年第6期724-730,共7页Chinese Pharmaceutical Affairs

摘　　要：目的:缩短口服单剂量调配时间,提高工作效率。方法:分析既往单剂量分包模式的不足,从设备、软件、流程等方面改进,包括设计智能棋盘式摆药盘、优化合并备用药槽及使用三备用药槽。比较口服单剂量调配模式改进前后的工作效率。结果:使用智能棋盘式摆药盘后,每条口服医嘱的调配时间从之前的(5.4±0.16)s缩短至(3.5±0.27)s,药师调配速度显著提高(P<0.05)。与改进前的全自动摆药模式相较,改进后平均每包调配时间缩短了24.72%~56.39%,平均每包调配时长显著短于改进前(P<0.05)。与人工摆药模式相较,改进前的全自动摆药模式调配药师从3名缩减至2名,每日人均调配医嘱条数提高至2848.90±153.21,显著高于人工摆药模式(P<0.05),工作效率提升了114.82%;改进后的全自动摆药模式每日人均调配医嘱条数提高至3671.90±56.48,显著高于人工摆药模式(P<0.05),效率提升了176.87%。结论:通过对我院既往单剂量调配模式的改进,工作效率显著提高。Objective:To shorten the oral single-dose dispensing time and improve work efficiency.Methods:The shortcomings of the previous single-dose subcontract model,and improvements were made in terms of equipment,software and process,including the design of an intelligent checkerboard oral drug dispensing plate,the optimization and combination of the reserve tablet cases and the use of triple reserve tablet cases.The work efficiency of oral single-dose dispensing model was compared before and after the improvement.Results:The dispensing time per order was reduced from(5.4±0.16)s to(3.5±0.27)s after using the intelligent checkerboard oral drug dispensing plate,the dispensing speed of pharmacists was significantly improved(P<0.05).Compared with the automatic dispensing mode before improvement,the average dispensing time per packet after improvement was shortened by 24.72%-56.39%,and the average dispensing times per packet was significantly shorter than pre-improvement model(P<0.05).Compared with the manual dispensing mode,the number of dispensing pharmacists in the automatic dispensing mode before the improvement was reduced from 3 to 2,the number of dispensing orders per capita per day was increased to 2848.90±153.21,which was significantly higher than that in the manual dispensing mode(P<0.05),and the work efficiency was increased by 114.82%;the number of dispensing orders per person per day in the improved automatic dispensing mode was increased to 3671.90±56.48,which was significantly higher than that in the manual dispensing mode(P<0.05),and the efficiency was increased by 176.87%.Conclusion:By improving on our hospital's previous oral single-dose dispensing model,the work efficiency is greatly improved.

关 键 词：口服单剂量 智能棋盘式摆药盘 三备用药槽 调配模式 

分 类 号：R95[医药卫生—药学]