全自动片剂摆药机在我院中心药房的应用

Application of Full-Automatic Tablet Dispensing Machine in the Central Pharmacy of Our Hospital

目的:为医院住院药房合理应用全自动片剂摆药机提供参考。方法:根据全自动片剂摆药机的工作流程和使用情况,总结分析我院在其使用中发生的差错及问题,并提出改进措施和解决方法。结果与结论:使用全自动片剂摆药机的常见差错包括自动摆药机发生的差错(其中药盒缺药报警占58.61%,药盒内数量反应错误占36.96%)、人为因素产生的差错(包括医嘱录入错误和药师加药错误)以及耗材安装操作差错。提出的解决方法包括调整出药口的倾斜角度、控制贮药盒内药品添加的数量以减少自动摆药机发生的差错;药师提前审核医院信息系统中的医嘱、执行双人核对的措施以减少人为因素产生的差错;对操作人员进行操作培训以减少耗材安装差错;另建议安排专人负责摆药机的维护等。

OBJECTIVE：To provide references for rational application of full-automatic tablet dispensing machine in the inpatient pharmacy of the hospital.METHODS：According to the work flow and use of the machine,the errors and problems arising from the use thereof by our hospital were summarized and analyzed,and corresponding improvement measures and solutions were put forward.RESULTS CONCLUSIONS：Common errors in the use of full-automatic tablet dispensing machine included errors for the machine（including in-box drug shortage warnings accounting for 58.61% and abnormal responses to the quantity of in-box drugs accounting for 36.96%）,errors caused by human factors（including errors of inputting doctor＇s order and errors of pharmacist＇s adding drugs）and errors of material installation and operation.The solutions put forward are as follows as adjusting the tilt angle of the outlet mouth and controlling the quantity of the drugs added to the box to reduce the errors for the machine;two pharmacists＇ checking doctor＇s order in the hospital information system in advance to reduce the errors caused by human factors;carrying out operation training for operators to reduce the errors of material installation;designating special personnel to maintain the machine,etc.