相似药品分区调剂模式在药品调剂管理中的应用

Application of similar drug dispensing mode in drug dispensing management

目的探索相似药品分区调剂模式,为提高相似药品调剂准确率、降低调剂差错风险提供参考。方法通过调整传统的药品单一横向或纵向排序方式为“Z”字形货位排序,实施相似药品分人、分区调剂模式,再配合摆药单据格式的调整以及完善盘点方式等措施,探索相似药品分区调剂模式的有效性和可行性;并从工作质量和工作效率2个方面综合评价相似药品分区调剂模式在药品调剂管理中的作用。结果实施相似药品分区调剂模式后,月调剂差错总数[(18.42±8.79)个vs.(28.50±6.87)个,P=0.005]、月相似药品调剂差错占比[(4.17±5.71)%vs.(10.96±7.05)%,P=0.017]显著低于实施前,月账物相符率[(98.46±0.73)%vs.(97.61±0.57)%,P=0.004]显著高于实施前;且每日各批次调剂完成时间未受到明显影响,可保障日常工作平稳、有序开展。结论实行相似药品分区调剂模式可提高相似药品的调剂准确率、降低调剂差错风险,且不会影响调剂工作效率。

OBJECTIVE To provide reference for improving the dispensing accuracy of similar drugs and reducing dispensing error risk through exploring the dispensing mode of similar drugs.METHODS The effectiveness and feasibility of the similar drug dispensing management mode was explored through adjusting the traditional horizontal or vertical sorting method to a“Z”shaped cargo location sorting,implementing similar drug in different zones dispensed by different people,and combining measures such as adjusting the format of drug dispensing documents and improving inventory methods.The role of similar drug dispensing mode in drug dispensing management was evaluated comprehensively from two aspects:work quality and work efficiency.RESULTS After the implementation of similar drug dispensing mode,total number of monthly dispensing errors(18.42±8.79 vs.28.50±6.87,P=0.005)and the proportion of monthly dispensing errors of similar drugs[(4.17±5.71)%vs.(10.96±7.05)%,P=0.017]were significantly lower than before the implementation;the monthly consistency rate between accounts and materials[(98.46±0.73)%vs.(97.61±0.57)%,P=0.004]was significantly higher than before implementation;completion time of dispensing in each batch was not significantly affected,and daily work was carried out smoothly and orderly.CONCLUSIONS The similar drug dispensing mode has a significant effect in improving the accuracy of dispensing similar drugs,reducing the risk of dispensing errors,and does not affect the efficiency of dispensing work.