我院门诊药房ePS理货系统的改进实践与成效

Continuous Improvement Practice and Effectiveness of Electronic Pharmaceutical System on Tollying in Outpatient Pharmacy of Our Hospital

目的:优化电子化药品物流系统(e PS)工作流程,提高门诊药房工作效率。方法:分析我院门诊药房在使用e PS理货系统过程中存在的主要问题,提出相关改进措施并实践,通过评价优化前后6个月的相关工作指标总结成效。结果:针对e PS理货系统在使用过程中存在的理货操作重复、盘点数据计算烦琐、药品效期管理方法效率低、药品"批/效"追踪有误差等主要问题,我院门诊药房进行了包括优化药品理货流程、更改药品追踪流程、增加近效期药品提醒功能等系列改进措施。系统优化改进后,缩短了发药机补药时间(26.32 s vs.7.78 s,平均提高了3.38倍)和药品盘点时间[(165.50±5.75)s vs.(146.70±4.54)s,平均缩短了11.36%],实现了药品"批/效"等信息的精准追溯,提高了药品管理水平[药品效期管理时间(58.00±1.88)s vs.(18.00±1.23)s,平均缩短了68.97%]。结论:我院对e PS理货系统进行优化后,提高了药师的工作效率,保证了药品"批/效"追溯准确性。

OBJECTIVE:To optimize the workflow of electronic pharmaceutical system(ePS),and improve the work efficiency of outpatient pharmacy.METHODS:The problems about the application of ePS on tollying in outpatient pharmacy of our hospital were analyzed.The improvement measures were put forward and implemented.The effectiveness was summarized by evaluating relevant work indicators 6 months before and after optimization.RESULTS:Referring to main problems during the application of ePS on tollying as repetition of tallying drugs,complexity of stocking checking,low efficiency in the management of drug expiry date,deviation in the tracking of“batch/expiry”,a series of measures were carried out in outpatient pharmacy of our hospital,including optimizing tallying process,updating tracking process,adding the function of alerting the near-expiry drug,etc.The system optimization shortened the time of replenishment(26.32 s vs.7.78 s,improving by 3.38 times)and stock checking[(165.50±5.75)s vs.(146.70±4.54)s,shortening by 11.36%],realized accurate tracing of drug information“batch/expiry”and improved drug management[(58.00±1.88)s vs.(18.00±1.23)s,shortening by 68.97%].CONCLUSIONS:The optimization of ePS on tallying in our hospital improves work efficiency of pharmacists and guarantees the accuracy of tracing drug“batch/expiry”.