自动化住院药房建设的实践与体会

Practice and Experience of Automatic Inpatient Pharmacy Construction

目的通过分析自动化设备在住院药房的使用情况,探讨自动化住院药房的运营模式。方法以智能存储柜和全自动包药机的应用为节点,分析我院自动化住院药房的建设对药品调配模式转变的影响,并对使用中存在的问题提出解决措施。结果自动化设备的使用,提高了发药效率,医嘱调配耗时从(2.04±0.23)min/份降至(1.04±0.17)min/份。降低药师的工作强度,运动步数从(8612.3±719.15)步/日降至(5643.1±867.51)步/日,减少差错事件,调剂差错从(2.53±1.46)件/日降至(1.07±0.94)件/日,全面提升了药事服务能力和管理水平。结论建设自动化住院药房是医院药学发展的必然趋势。在自动化住院药房实践的过程中,需要及时总结,建立应急预案,规避不良事件。

Objective Through analysis of the usage of automation equipment in inpatient pharmacy,we aimed to explore the operation mode of automated inpatient pharmacy.Methods Took the intelligent access machine and the application of the automatic medicine packing machine as nodes,the influence of pharmacy automation construction on drug procurement model in our hospital was analyzed.The solutions to the problems existing in the use were put forward.Results The time consumes of dispensing pills decreased from(2.04±0.23)min/paper to(1.04±0.17)min/paper,indicating that the use of automation equipment improved the efficiency of the dispensing pills.The pharmacists work steps decreased from(8612.3±719.15)steps/day to(5643.1±867.51)steps/day indicating that the intensity of pharmacists work steps was reduced.Moreover,the dispensing errors fell from(2.53±1.46)events/day to(1.07±0.94)events/day,which related to reduced error event.As a result,the automatic inpatient pharmacy comprehensively improved the capacity and management level of pharmaceutical services.Conclusion The automatic inpatient pharmacy is an inevitable trend for hospital pharmacy development.In the process of automatic inpatient pharmacy practice,we need to timely summarize experience,establish emergency plan and avoid adverse events.