某院门诊药房信息化药品调剂差错防范体系的建立与运行
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摘要
目的:通过门诊药房信息化药品调剂差错防范体系的建立与运行,有效降低药品调剂差错率,提高药学服务质量,保障患者安全用药。方法:从药品调剂前、中、后3个维度分别展开,运用信息化技术,设计并建立"医师-药师-患者"三位一体的药品调剂差错防范体系,并对该体系运行前后效果进行分析比较。结果:门诊药房信息化药品调剂差错防范体系建立运行后,药品调剂工作的各环节差错均显著减少,调剂前医师开方错误率从0.724 4%下降为0.340 3%;调剂中药师总调配差错率从0.078 8%下降为0.042 4%,其中各调配差错类别的占比也均有所下降;调剂后出门差错率从0.000 68%下降为0.000 26%。结论:门诊药房信息化药品调剂差错防范体系的建立,为减少药品调剂差错提供了有效的新方法,使药师充分发挥专业技术水平,为患者提供优质的信息化药学服务,保障患者安全用药,是未来医院药房降低药品调剂差错率的发展趋势。
OBJECTIVE To establish and operate the informatization drug dispensing error prevention system to effectively reduce dispensing errors in outpatient pharmacy,improve the quality of pharmaceutical care and ensure safe medication.METHODS Investigatation and analysis were performed from three aspects:before,during,and after dispensing.Information technology was adopted to design and establish a dispensing error prevention system integrating "physicians,pharmacists,patients".Reduction of dispensing errors were compared before and after the system was established.RESULTS The operation of informatization drug dispensing error prevention system in outpatient pharmacy significantly reduced dispensing errors,from0.724 4% to 0.340 3% before dispensing,and from0.078 8%to 0.042 4% during dispensing.Proportions of different dispensing error categories also declined.Error rate after dispensing was declined from0.000 68%to 0.000 26%.CONCLUSION Informatization drug dispensing error prevention system provides an effective method to reduce dispensing errors,fully utilize the professional technique of pharmacists,provide high quality informatization pharmaceutical care for patients,and ensure safe medication.Informatization drug dispensing error prevention system is development trend in future for hospital pharmacies to reduce dispensing error rate.
OBJECTIVE To establish and operate the informatization drug dispensing error prevention system to effectively reduce dispensing errors in outpatient pharmacy,improve the quality of pharmaceutical care and ensure safe medication.METHODS Investigatation and analysis were performed from three aspects:before,during,and after dispensing.Information technology was adopted to design and establish a dispensing error prevention system integrating "physicians,pharmacists,patients".Reduction of dispensing errors were compared before and after the system was established.RESULTS The operation of informatization drug dispensing error prevention system in outpatient pharmacy significantly reduced dispensing errors,from0.724 4% to 0.340 3% before dispensing,and from0.078 8%to 0.042 4% during dispensing.Proportions of different dispensing error categories also declined.Error rate after dispensing was declined from0.000 68%to 0.000 26%.CONCLUSION Informatization drug dispensing error prevention system provides an effective method to reduce dispensing errors,fully utilize the professional technique of pharmacists,provide high quality informatization pharmaceutical care for patients,and ensure safe medication.Informatization drug dispensing error prevention system is development trend in future for hospital pharmacies to reduce dispensing error rate.
引文
[1]杨春松,张伶俐,林芸竹,等.门诊药房调剂模式满意度调查研究及国内调剂模式的系统评价[J].中国药学杂志,2014,49(12):1081-1086.
[2]李成群,王伟,曹建波,等.自动化药房的现状和新进展[J].机器人技术与应用,2007,5:27-32.
[3]顾继红,缪丽燕.医院门诊药房自动化系统流程建设的实践[J].中国医院药学杂志,2012,32(15):1225-1226.
[4]杨春松,林芸竹,朱毅.新调剂模式下儿科门诊药房内部调剂差错分析与防范[J].中国药房,2014,25(17):1589-1591.
[5]谢艳萍,徐萍.我院门诊药房的精细化管理探讨[J].中国药房,2013,24(17):1578-1580.
[6]张丽,杜淑娴,王育琴,等.构建我院用药安全风险防范体系的实践与思考[J].中国药房,2011,22(13):1180-1182.
[7]Kenagy JW,Stein GC.Naming,labeling,and packaging of pharmaceuticals[J].Am J Health Syst Pharm,2001,58(1):2033-2036.
[8]孙志勇,史香芬,张晓坚,等.自动化药房管理信息系统在医院门诊药房的应用[J].中国医院药学杂志,2013,33(18):1535-1536.
[9]陈磊,杨文宇,宋洪涛.数字化药房的构建[J].中国医院药学杂志,2012,32(19):1572-1574.
[10]杨延东,姚国庆,王薇,等.引进门诊自动发药系统对药品调剂效率及工作强度的影响分析[J].中国医院药学杂志,2015,35(19):1772-1774.
[11]胡峰明.条形码技术结合医院信息管理系统在门诊药品调剂中的应用[J].中国现代应用药学,2010,27(6):562-565.
[12]Nanji KC,Cina J,Patel N,et al.Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing:a case study[J].J Am Med Infor Assoc,2009,16(5):645-650.
[13]钱庆庆,宋锦飞,孙光春,等.条形码扫描发药系统在门诊药房的应用及体会[J].中国药师,2012,15(10):1517-1518.
[14]匡长春,谢峻,刘宏.利用流程再造优化门诊药房服务[J].中国药房,2011,22(5):418-420.
[15]刘萍,张卫同,徐子玲,等.门诊药房常见的发药差错原因与防范措施分析[J].中国药房,2013,24(37):3547-3550.
[2]李成群,王伟,曹建波,等.自动化药房的现状和新进展[J].机器人技术与应用,2007,5:27-32.
[3]顾继红,缪丽燕.医院门诊药房自动化系统流程建设的实践[J].中国医院药学杂志,2012,32(15):1225-1226.
[4]杨春松,林芸竹,朱毅.新调剂模式下儿科门诊药房内部调剂差错分析与防范[J].中国药房,2014,25(17):1589-1591.
[5]谢艳萍,徐萍.我院门诊药房的精细化管理探讨[J].中国药房,2013,24(17):1578-1580.
[6]张丽,杜淑娴,王育琴,等.构建我院用药安全风险防范体系的实践与思考[J].中国药房,2011,22(13):1180-1182.
[7]Kenagy JW,Stein GC.Naming,labeling,and packaging of pharmaceuticals[J].Am J Health Syst Pharm,2001,58(1):2033-2036.
[8]孙志勇,史香芬,张晓坚,等.自动化药房管理信息系统在医院门诊药房的应用[J].中国医院药学杂志,2013,33(18):1535-1536.
[9]陈磊,杨文宇,宋洪涛.数字化药房的构建[J].中国医院药学杂志,2012,32(19):1572-1574.
[10]杨延东,姚国庆,王薇,等.引进门诊自动发药系统对药品调剂效率及工作强度的影响分析[J].中国医院药学杂志,2015,35(19):1772-1774.
[11]胡峰明.条形码技术结合医院信息管理系统在门诊药品调剂中的应用[J].中国现代应用药学,2010,27(6):562-565.
[12]Nanji KC,Cina J,Patel N,et al.Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing:a case study[J].J Am Med Infor Assoc,2009,16(5):645-650.
[13]钱庆庆,宋锦飞,孙光春,等.条形码扫描发药系统在门诊药房的应用及体会[J].中国药师,2012,15(10):1517-1518.
[14]匡长春,谢峻,刘宏.利用流程再造优化门诊药房服务[J].中国药房,2011,22(5):418-420.
[15]刘萍,张卫同,徐子玲,等.门诊药房常见的发药差错原因与防范措施分析[J].中国药房,2013,24(37):3547-3550.