病区使用自动化智能药柜管理药品模式的实践与体会

发布时间：2018-02-16 06:17

本文关键词： 自动化智能药柜病区药品管理药学服务　出处：《中国药房》2017年22期 　论文类型：期刊论文

【摘要】：目的:改变病区药品管理模式,促进患者及时、合理用药。方法:使用自动化智能药柜(ADC)对我院部分病区药品进行管理,并从ADC中药品管理程序、药师对ADC的管理、使用ADC管理病区药品时的相关措施及使用ADC后的效果评价(以5个病区使用ADC前后基数药品种类、调剂临时医嘱平均时间、退药次数为指标)等方面对其使用实践进行介绍。结果:通过筛选入柜药品及制订取药流程等建立了ADC中药品的管理方法;药师通过对ADC药品建立药品目录、进行补货与库存管理、建立应急预案、加强监督检查等实现了对病区ADC药品的管理。与使用ADC前比较,5个病区的基数药品种类从平均65.8种增至157.2种;调剂临时医嘱平均时间由24.5 min降至5.8 min;3个月的平均退药次数由约200次降至约20次(P0.05或P0.01)。结论:病区使用ADC管理药品不但提高了病区药品使用便捷性、提升了护士管理病区药品的工作效率,而且提高了药师的药学服务质量,改变了药品管理模式,促进了患者的合理用药。
[Abstract]:Objective: to change the drug management mode in the ward and to promote the timely and rational use of drugs by the patients. Methods: the drugs in some areas of our hospital were managed by using the automatic intelligent medicine cabinet (ADCC), and the drug management program of ADC and the management of ADC by pharmacists were used. The related measures of using ADC to manage the drugs in the ward and the effect evaluation after the use of ADC (taking the cardinal drug types before and after the use of ADC in the five wards and the average time of dispensing temporary doctor's orders); Results: the methods of drug management in ADC were established by screening drugs into the counter and drawing up the process of drug withdrawal, and pharmacists established a drug catalogue for ADC drugs. Restocking and inventory management, establishing emergency plans, strengthening supervision and inspection have realized the management of ADC drugs in the ward. Compared with before the use of ADC, the types of cardinal drugs in the five wards increased from 65.8 to 157.2; The average time of dispensing temporary doctor's orders was reduced from 24. 5 min to 5. 8 minutes, and the average times of drug withdrawal in 3 months was decreased from about 200 times to about 20 times (P0.05 or P0. 01). Conclusion: the use of ADC to manage drugs in the ward can not only improve the convenience of drug use in the area. It can improve the efficiency of nurses' drug management, improve the quality of pharmacists' pharmaceutical service, change the mode of drug management, and promote the rational use of drugs by patients.
【作者单位】：中国医学科学院阜外医院药剂科;
【分类号】：R952

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