PDA条码扫描技术在我院片剂单剂量分包中的应用

Application of PDA Barcode Scanning Technology in Automated Tablet Dispensing and Packaging System in Our Hospital

目的:实现住院药房片剂的精细化管理,保障患者用药安全。方法:基于智慧药学,对单独使用自动分包机模式下的分包流程进行优化改造,在取药、拆药、加药等环节中应用掌上电脑(PDA)条码扫描技术,实现批号和库存的实时追踪,完善片剂的药品闭环管理。比较流程改进前后调剂的差错率,人力资源消耗工时以及药师/护士满意度。结果:流程改进后,片剂调剂差错率从流程改进前的1.637‰降到0.082‰(P<0.01),人力资源消耗工时从(7.52±0.33)h缩减至(5.11±0.24)h(P<0.01),药师/护士满意度从66.5%提高到93.4%(P<0.01)。结论:在全自动药品分包机的基础上,通过PDA条码扫描技术的应用,规范了住院药房片剂的管理,补充完善了药品闭环信息,实现了批号追踪与库存管理,降低了片剂调剂差错率,提高了药师的工作效率和满意度,保障了临床用药安全。

OBJECTIVE:To realize refined management of tablets in the inpatient pharmacy,and to ensure the medication safety of patients.METHODS:Based on intelligent pharmacy,the dispensing and packaging process under the automated drug dispensing and packaging system(ADDPS)mode was optimized and modified;PDA barcode scanning technology was applied in all links of taking,dismantling and adding,so as to realize the real-time tracking of batch number and inventory,and improve the drug closed-loop management of tablets.The error rate,staff consumption time and pharmacist/nurse satisfaction were compared before and after the process improvement.RESULTS:After the process improvement,the dispensing error rate was decreased from 1.637‰before improvement to 0.082‰(P<0.01);the staff consumption time decreased from(7.52±0.33)h to(5.11±0.24)h(P<0.01);the pharmacist/nurse satisfaction increased from 66.5%to 93.4%(P<0.01).CONCLUSIONS:Based on ADDPS,the application of PDA barcode scanning technology standardizes the tablets management of inpatient pharmacy,supplements and improves the drug closed-loop information,realizes batch number tracking and inventory management,reduces the occurrence of tablet dispensing errors,improves the work efficiency and satisfaction of pharmacists,and ensures the safety of clinical medication.