针对单剂量口服分包药品的病区“无纸化核对系统”的建立与应用

Establishment and application of paperless checking system for unit dose dispensing system

目的:研究"无纸化核对系统"能否提高病区护士核对口服药的工作效率。方法:选择五个口服分包药品长期医嘱合计100包以上的科室,连续10个工作日对其长期医嘱采用护士手工核对,然后对其进行"无纸化核对系统"操作培训,研究人工核对与无纸核对系统的单包核对时间差异。结果:与手工核对相比,各病区运用无纸化核对系统均可显著缩短口服药核对时间(P<0.05,P<0.01),在流程优化后病区平均核对时间降低了50%左右。结论:无纸化核对系统是药师针对临床工作中核对分包口服药遇到的实际难题,委托网络工程师研发出的新程序,能显著提高护士核对口服药的工作效率、减少核对时间。

OBJECTIVE To study whether the "paperless check system" can improve the work efficiency of nurses in the ward to check oral drugs.METHODS Five departments with more than 100 packs of long-term medical orders of oral subcontracted drugs were selected, and their long-term medical orders were manually checked by nurses for 10 consecutive working days, and then they were trained in the operation of the "paperless check system" to study the difference in the time of single-pack check between the manual check and paperless check systems.RESULTS Compared with manual verification, the use of paperless check system in each ward can significantly shorten check time of the oral drugs(P<0.05, P<0.01). After the process optimization, the average check time of the ward was reduced by about 50%.CONCLUSION The paperless verification system is a practical problem encountered by pharmacists in the verification of subcontracted oral drugs in clinical work. The new procedure developed by entrusting network engineers can significantly improve the work efficiency of nurses in the verification of oral drugs and reduce the verification time.