PIVAS自动分拣系统应用效果评价

Evaluation of the Application Effect of PIVAS Automatic Sorting System

目的:评价我院静配中心应用自动分拣系统的效果,为静配中心自动化建设提供参考。方法:介绍我院自动分拣机设备组成及工作流程,以不同分拣模式下平均每袋成品输液所需分拣时间、药师分拣一袋成品输液平均步行数以及单位时间内分拣差错百分比为指标,评价自动分拣机对成品输液分拣效率、工作强度及分拣差错的影响。结果:自动分拣系统使用后,使98.55%的成品输液实现了快捷的自动分拣。每袋成品输液的分拣时间,由使用前(手工分拣)的8.67 s,提速为使用后(自动分拣)3.11 s,省时64.15%;同时与手工分拣模式相比较,自动分拣模式使工作人员数量下降50%,但人均日平均分拣液体数量增长99.85%,人均日步行数下降22.12%。各类分拣差错均明显减少,总差错数下降86.48%。结论:自动分拣机使用后我院静配中心工作环境更舒适,流程更优化,实现了成品分拣高效率低差错,缩短了分拣时长、降低了劳动强度,使药师将更多的精力投入到医嘱审核及临床服务工作中,提高了药学服务质量,并推动了静配中心自动化建设。

Objective： To evaluate the effect of automatic sorting system applied in pharmacy intravenous admixture service（PIVAS） of our hospital and to provide references for the development of automation of PIVAS. Methods： The equipment and its working process of the automatic sorting system in our hospital was introduced. The impact of the automatic sorting system on sorting efficiency, work intensity and sorting error of finished intravenous solutions was evaluated by using average sorting time of 1 bag of finished intravenous solutions, average number of walking steps needed to sort 1 bag of finished intravenous solutions and the percentage of sorting errors per unit time as indicators. Results： After the automatic sorting system was used, 98.55% of finished liquids achieves rapid automatic sorting. The sorting time of the each finished liquid was shortened from 8.67 s before use（by manual sorting） to 3.11 s after use（automatic sorting）, saving time 64.15%, at the same time compared with the manual sorting mode, the automatic sorting mode reduced the number of workers by 50%, the average daily liquid per person per capita increased by 99.85%, and the number of walks per capita decreased by 22.12%. All kinds of sorting errors were significantly reduced. The total number of errors decreased by 86.48%. Conclusion： After the automatic sorting machine was used, the working environment of PIVAS was more comfortable and the process was optimized, which resulted in high efficiency and low erros, It also shortened the sorting time and reduced labor intensity in the sorting of finished intravenous solutions so that the pharmacists could devote more energy to the review of prescriptions and clinical service, which greatly improved the quality of the pharmaceutical service and promoted the development of automation of PIVAS.