全自动片剂摆药机在我院中心药房的应用

发布时间：2018-11-27 14:50

【摘要】：目的:为医院住院药房合理应用全自动片剂摆药机提供参考。方法:根据全自动片剂摆药机的工作流程和使用情况,总结分析我院在其使用中发生的差错及问题,并提出改进措施和解决方法。结果与结论:使用全自动片剂摆药机的常见差错包括自动摆药机发生的差错(其中药盒缺药报警占58.61%,药盒内数量反应错误占36.96%)、人为因素产生的差错(包括医嘱录入错误和药师加药错误)以及耗材安装操作差错。提出的解决方法包括调整出药口的倾斜角度、控制贮药盒内药品添加的数量以减少自动摆药机发生的差错;药师提前审核医院信息系统中的医嘱、执行双人核对的措施以减少人为因素产生的差错;对操作人员进行操作培训以减少耗材安装差错;另建议安排专人负责摆药机的维护等。
[Abstract]:Objective: to provide reference for rational application of automatic tablet dispensing machine in hospital pharmacy. Methods: according to the working flow and application of the automatic tablet dispenser, the errors and problems occurred in the use of the tablet dispenser in our hospital were summarized and analyzed, and the improvement measures and solutions were put forward. Results & conclusion: the common errors in using the automatic tablet dispensing machine include the errors in the automatic dispensing machine (58.61% in the drug box alarm and 36.96% in the quantity reaction error in the drug box). Errors caused by human factors (including doctor's order entry errors and pharmacist dosing errors) and consumables installation errors. The proposed solution includes adjusting the tilting angle of the dispenser and controlling the amount of medicine added in the container to reduce the errors in the automatic dispensing machine. Pharmacists review the doctor's orders in the hospital information system ahead of time, carry out double check measures to reduce the errors caused by human factors, train the operators to reduce the installation errors of consumables, and propose to arrange special personnel to be responsible for the maintenance of dispensing machines, etc.
【作者单位】：航空总医院药剂科;
【分类号】：R95

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