中药小包装饮片调剂操作流程规范化的研究

A study on standardization of dispensing procedure for small packages of Chinese herbal pieces

目的制定统一中药小包装饮片的调剂操作流程,使其规范化、标准化、有利于操作,省时省力,便于审核,防止差错,杜绝医疗纠纷的发生。方法依据中药饮片的调剂规范流程,结合小包装饮片的特点,根据实际操作工作经验,制定便捷可靠、省时省力、科学操作的工艺流程。结果小包装饮片完全不同于中药饮片的调剂,其操作方法、审核等具有独特的操作性能,审、摆、看、对、拿、掂、分、核、包、发是其主要操作要点。结论中药小包装饮片解决了中药饮片不利于保管、不利于分发、不利于养护,以及调剂过程中的抓称繁琐、大小不均、分量不准、不利复核、脏乱质差等弊端,充分发挥了一药一包、易于鉴别、计量准确、名物易对易换、患者知情等优点。

Objective To establish a unified dispensing procedure for small packages of Chinese herbal pieces and to make it standardized so as to operate it easily, save time and energy, provide convenience for examination, avoid mistakes and eliminate medical disputes.MethodsA convenient and reliable, time and energy saving and scientific dispensing procedure was established according to the standardized dispensing procedure of Chinese herbal pieces, the features of small packages, and real working and operating experience.ResultsThe dispensing procedure for small packages of herbal pieces was different from that of Chinese herbal pieces in that its operational procedure and examination had unique functions. The main operational points included investigating, arranging, viewing, comparing, holding, weighing, allocating, examining, packaging, and dispatching. Conclusion Small packages of Chinese herbal pieces solve the problems of Chinese herbal pieces which are not easy to keep, allocate and maintain, as well as the problems during dispensing such as complicated weighing, uneven size, inaccurate weight, unfavorable condition for re-examination, messy environment and low quality; advantages such as one type of drug in one bag, easy identification, accurate weighing, easy check and exchange by name and drug, and informed consent for patients are ensured.