门诊药房药品调剂扫码核对系统的开发与应用

Development and application of barcode scanning check system for drug dispensing in the outpatient dispensary

目的:通过开发药品调剂扫码核对系统,减少药品调剂差错发生。方法:在医院信息系统药品字典库中设置药品条形码类型,录入药品外包装印刷的商品码和(或)药品电子监管码,在发药窗口设置条形码验证开关,发药时增加条形码验证流程。结果:该系统应用6个月,共拦截141例次包装相似或名称音似药品的调剂差错,盘点未发现因包装相似及名称音似药品引起的账物不符,药师核对压力减轻,核对效率得到提高,患者平均取药等候时间缩短9.52%。结论:药品调剂扫码核对系统能提高药师调剂核对的准确性及效率,减轻药师窗口工作压力,并可缩短患者取药等候时间,且投入少,值得推广应用。

Objective:To reduce drug dispensing errors through development of the barcode scanning check system in drug dispensing.Methods:Drug barcode types for various drugs were fed in the drug dictionary of the hospital information system,and commodity codes on drug packaging and/or electronic drug regulatory codes were also installed in the system,and a validation barcode switch was placed in dispensing windows to add another validation barcode process during drug dispensing.Results:After 6 months of application,the system successfully intercepted 141 drug dispensing errors due to similar packaging or similar brand names.Inventory check revealed that there was no inconsistency between accounts and drugs dispensed due to similar packaging or similar brand names.As a result,the load on pharmacists for checking was obviously relieved,work efficiency improved,and the average waiting time of the patients for taking drugs was shortened by 9.52%.Conclusion:Barcode scanning check system for drug dispensing could help pharmacists to improve the accuracy and efficiency of drug checking,relieve work load at the drug dispensing window and shorten the waiting time of patients,with less input.For this reason,it is worth further promotion.