某院住院药房全流程智能化药品调剂模式构建与应用  

Construction and application of a whole-process intelligent drug dispensing mode in a hospital′s inpatient pharmacy

作　　者：毕学苑 李永生 范婷 Bi Xueyuan;Li Yongsheng;Fan Ting(Department of Pharmacy,Honghui Hospital Affiliated to Xi′an Jiaotong University,Xi′an 710054,China)

机构地区：[1]西安交通大学附属红会医院药学部,西安710054

出　　处：《中华医院管理杂志》2024年第9期713-717,共5页Chinese Journal of Hospital Administration

基　　金：陕西省药学会医院药学高质量发展项目(2023-1-2-3);西安市红会医院"高层次人才"项目(2021GCCRC09)。

摘　　要：为优化住院药房药品调剂管理模式,2023年4月,某三级甲等医院构建并启动了住院药房全流程智能化药品调剂模式,通过联合应用医院信息系统、前置审方系统、无纸化调剂追溯系统和智能配送系统,建立"药师确认医嘱→取药/核对/打包→物流配送→护士核对/摆药"的标准化业务流程,实现了药品调剂全过程的可视、可控和可追溯,保障了病区用药安全。该模式实施前(2022年6月至2023年1月),医院住院药房每月平均摆药单数为8498单,差错率3.23%,平均每单完成时间15.50 min;实施后(2023年6月至2024年1月),每月平均摆药单数为10099单,差错率0.63%,每单完成时间10.10 min。全流程智能化药品调剂模式的应用减少了药品调剂差错率,提高了工作效率,取得良好成效,可为其他公立医院推进智能化药品调剂提供借鉴。In order to optimize the management mode of drug dispensing in inpatient pharmacy,in April 2023,a tertiary hospital constructed and initiated the whole-process intelligent drug dispensing mode in inpatient pharmacy.By jointly applying hospital information system,pre-approval system,paperless dispensing traceability system,and intelligent distribution system,a standardized business process of"pharmacist confirms orders→medication retrieval/verification/packaging→logistics distribution→nurse verification/dispensing"had been established,achieving visibility,controllability,and traceability of the entire drug dispensing process,ensuring drug safety of wards.Before the implementation of this mode(June 2022 to January 2023),the average number of dispensing orders per month in the hospital′s inpatient pharmacy was 8498,with an error rate of 3.23%and an average completion time of 15.50 min per order;After implementation(June 2023 to January 2024),the average number of orders per month was 10099,with an error rate reduced to 0.63%,and the completion time for each order was shortened to 10.10 min.The application of the whole-process intelligent drug dispensing mode had reduced dispensing error rates,and improved work efficiency,which could provide references for other public hospitals to promote intelligent drug dispensing.

关 键 词：药学服务 信息系统 智能核对 智能配送 住院药房 

分 类 号：R95[医药卫生—药学]