门诊药房智能核对及贴签调剂模式的构建与应用

Construction and Application of Intelligent Checking and Labeling Dispensing Mode in Outpatient Pharmacy

目的优化药品调剂流程,提升药学服务的效率和质量。方法介绍某院研发的门诊药房智能核对及贴签系统(简称智能系统)的硬件、软件构成及操作流程,据此构建智能核对及贴签调剂模式(简称智能模式),比较智能模式实施前(2022年1—6月)、实施后(2022年7—12月)药品核对贴签时间、用药教育时间、患者候药时间、调剂差错率和患者满意度等指标。结果实施后,药品核对贴签(中位)时间缩短42.31%(P<0.01),用药教育(中位)时间增加380.00%(P<0.01),差错率由0.30%降至0.01%(P<0.01),患者候药(中位)时间无明显变化(P>0.05);患者满意度明显改善(P<0.01)。结论智能模式将药品智能核对与贴签有机结合,有效缩短了药品核对贴签时间,增加了用药教育时间,降低了调剂差错率,提高了患者满意度。但该智能系统在识别范围等方面仍需进一步改进。

Objective To optimize the drug dispensing process,and to improve the efficiency and quality of pharmaceutical care.Methods The hardware,software composition and operation process of the intelligent checking and labeling system in a outpatient pharmacy(hereinafter referred to as the intelligent system)developed by a hospital were introduced,on this basis,an intelligent checking and labeling dispensing mode(hereinafter referred to as the intelligent mode)was constructed.The indexes such as drug checking and labeling time,medication education time,patients'waiting time for drugs,dispensing error rate and patients'satisfaction level before the implementation of intelligent mode(January to June 2022)and after the implementation of intelligent mode(July to December 2022)were compared.Results After the implementation of intelligent mode,the median time of drug checking and labeling was shortened by 42.31%(P<0.01),the median time of medication education was extended by 380.00%(P<0.01),the dispensing error rate was decreased from 0.30%to 0.01%(P<0.01),the median time of patients'waiting time for drugs was unchanged significantly(P>0.05),and the patients'satisfaction level was significantly improved(P<0.01).Conclusion The intelligent mode organically combines the intelligent drug checking and labeling,which effectively shortens drug checking and labeling time,extends medication education time,decreases dispensing error rate and improves patients'satisfaction level.However,the intelligent system still needs further improvement in recognition.