我院中心药房麻精药品智能化管理系统的开发与应用

Development and Application of Intelligent Management System for Narcotic and Psychotropic Drugs in Central Pharmacy of Our Hospital

目的:促进医院药房麻醉和第一类精神(简称麻精)药品智能化管理的实现。方法:借助指纹识别技术并结合智能存储柜等硬件设备,我院设计开发了麻精药品智能化管理系统,包括处方发药、基数补药、空瓶回收、班次交接等功能模块,通过比较该系统使用前后各30 d的相关指标评价其效果。结果:麻精药品智能化管理系统的应用,实现了麻精药品的智能调配、基数补药时的自动核对、空瓶回收时的信息自动记录和准确溯源、班次交接时的自动记录等功能及麻精药品"五专"管理的智能化与信息化;系统使用前与使用后比较,每天交接班用时由(13.62±0.40)min缩短至(8.67±0.33)min,平均缩短4.95 min(n=30);处方调配用时由每天(30.36±0.48)min缩短至(10.56±0.46)min,平均缩短19.80 min(n=30);基数补药汇总用时由每天的(12.72±0.97)min缩短至(0.13±0.03)min,平均缩短12.59 min(n=30);且应用后未发生药品调配差错事件。结论:我院开发的麻精药品智能化管理系统运行稳定,操作方便,不但使麻精药品的管理符合"五专"管理的要求,且其操作实现了智能化与信息化,提高了工作效率与差错防范能力。

OBJECTIVE：To promote the realization of intelligent management for narcotic and first type psychotropic drugs（narcotic and psychotropic drugs for short） in hospital. METHODS：With the aid of fingerprint identification technology and hardware devices such as intelligent storage cabinet,intelligent management for narcotic and psychotropic drugs were designed and developed in our hospital,including prescription dispensing,cardinal drug supplement,empty bottle recycling,changing shifts,etc. The effects of the system were evaluated 30 d before and after the implementation of the system through comparing related indexes. RESULTS：The application of intelligent management system for narcotic and psychotropic drugs realized intelligent dispensing of narcotic and psychotropic drugs,automatic checking during cardinal drug supplement,automatic information record during empty bottle recycling,automatic record during changing shifts,intelligent and information management on＂five specific management＂for narcotic and psychotropic drugs. Compared with before the implementation of the system,the duration of daily changing shifts was shortened from（13.62±0.40）min to（8.67±0.33）min,shortening by 4.95 min in average（n=30）. The time of prescription dispensing was shortened from（30.36 ± 0.48） min to（10.56 ± 0.46） min,shortening by 19.80 min（n=30）. The collecting time of cardinal drug supplement was shortened from（12.72±0.97）min to（0.13±0.03）min,shortening by 12.59 min（n=30）. No drug dispensing error was found after the implementation of the system. CONCLUSIONS：The system is stable and convenient,which promotes that intelligent management for narcotic and psychotropic drugs is in line with the requirements of＂five specific management＂. It also realizes intelligent and information operation,improves work efficiency and error prevention ability.