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与医院经济直接相关的药剂科如何加强药品管理、降低消耗、挖潜节支,合理增收,乃是医院管理中的一项重要内容。而成立中心药房则是药品管理中最有价值的措施之一。 中心药房的摆药程序是:先由病房治疗护士将执行完毕的医嘱服药薄,连同病人的服药杯送入摆药室,再由药疗护士(或调剂人 相似文献
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我院地处皖西南,近年来门诊量达120万人次以上。目前医院药房采用的是手工调剂发药方式,存在着药师工作强度大且易出差错,病人取药排队时间长及用药咨询时间短等问题,影响了药学服务质量。在药品管理方面,药房对现有的药品数量、补充频度及有效期难以做到实时监控,每月盘存费时费力。为提高药房服务和管理水平,加大药房自动化、信息化建设,引进药房的自动化发药系统很有必要。 相似文献
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医院中心摆药始于我国的20世纪70年代,医院以集中摆药方式在国内多数医院陆续展开,并被普遍接受,已成为住院患者的主要发药方式[1].中心摆药的实行在加强药品管理、指导合理用药、提高医疗水平等方面起到了积极推动作用,使住院患者用药的安全性、高效性、配伍的合理性得到了有利保障,患者得到了更优质的用药服务;减轻了临床护士的工作量,大大减少了差错事故的发生;防止了科室药品积压过期,有利于加强药品管理[2].目前多数医院中心摆药室沿袭传统的摆药、发药模式,口服药的调配过程未实施监控,缺乏标准操作规程,不能有效的保证药品的质量,存在潜在的不安全隐患[1].本文对中心摆药存在的问题及对策做一综述,旨在为我国中心摆药的健康发展提供参考. 相似文献
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中心药房是以最小单位的用药剂量提供给全院住院病人临床用药的科室。中心药房在全院的经济、药品的管理中起到很重要的作用。管理的好坏直接影响到临床住院病人用药的及时、安全。但现有的摆药环境、模式、人员结构、人员素质与现代化医院的要求有一定的差距。尤其是片摆,中心片摆是将拆封的裸药直接发给病人,所以在摆药的每个环节中要减少不必要的污染.防止药品的错发和漏发来确保用药的安全。笔者针对以上几点提出一些意见、建议。 相似文献
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应加强医院散装药品的效期管理 总被引:4,自引:0,他引:4
药品是防治疾病的主要武器,对其科学化、规范化管理在现代医疗中占有极其重要的位置,加强对医院门诊药房和中心摆药室散装药品的效期管理,是药品规范化管理的组成部分,也是临床用药安全的保证。 相似文献
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目的: 评价应用全自动口服药品摆药机联合护理移动工作站掌上电脑(PDA设备)的方法在住院患者口服药发放中的应用效果。探讨现代化医院信息建设在提高护士工作效率中的作用。方法: 选取全自动摆药机联合PDA发放住院患者口服药使用前后各 7 个工作日内, 对在两种模式下病区护士核药、发药用时进行评估。结果: 全自动摆药机联合PDA使用以后,大幅度提升了护士的工作效率,并且在口服药摆药、发药过程中药物漏发、错发显著减少,降低了给药差错的发生几率。结论: 全自动口服药品摆药机联合护理移动工作站PDA设备的使用大大提高了护士的工作效率,减少了人为差错,提高了住院患者口服药发放的安全性,避免了护理差错的发生,提升了护理服务水平,在临床护理工作中值得推广。 相似文献
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本文从8个方面的问题探讨住院部药房摆药易出现的问题及对策,指出实施摆药工作中的问题,认为保质保量完成好摆药工作值得探讨。 相似文献
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This commentary reviews the difficulties in formulating oral products for children. The significance of the fragmentation of the pediatric population in terms of development and ability to ingest different dosage formulations is examined. It is postulated that a flexible formulation, acceptable by all patient groups, is needed, and an automated compounding concept is proposed. The finishing of the formulation is done at the dispensing pharmacy using an automated process. The individual components (pudding-like carrier, microencapsulated drug, and the dispensing robot and its software) are reviewed. The involvement of different stakeholders is considered because new regulatory, clinical, and marketing thinking is required. 相似文献
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刘俊 《临床和实验医学杂志》2012,11(16):1302-1303
目的探讨全自动药品单剂量分包机应用于门诊药房的效果。方法选择门诊药房配药的患者100例随机分为实验组与对照组各50例。对照组采取人工配药,实验组应用全自动药品单剂量分包机进行操作。观察两组的劳动功效、人力成本、配药质量合格率,并做好记录。结果实验组需要配药师2名,完成每张处方的配发工作平均为(16.38±5.27)s;对照组需要配药师13名,完成每张处方的配发工作平均为4 min。实验组劳动功效显著低于实验组、人力成本显著高于对照组,差异具有统计学意义(P<0.05);实验组配药质量合格率高达98.0%,对照组配药质量合格率为88.0%,实验组配药质量与合格率显著高于对照组,差异具有统计学意义(χ2=7.680,P=0.006)。结论应用全自动药品单剂量分包机于门诊药房能有效提高发药速度与准确性,对改善门诊药房的服务质量有着较为显著的功效。 相似文献
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Saginur M Graham ID Forster AJ Boucher M Wells GA 《Journal of evaluation in clinical practice》2008,14(1):27-35
Background There are many technologies designed to improve medication safety. Although limited evidence supports their use, there are pressures to implement them. Objective To determine the uptake of technologies designed to improve medication safety, plans for adopting technologies, attitudes towards technology use, and perceptions of medication error. Methods We performed a cross‐sectional survey of pharmacy directors at Canada’s 100 largest acute‐care hospitals. Results Seventy‐eight per cent of surveyed hospitals responded. Responding hospitals averaged 499 beds and 29% were teaching facilities. Hospital frequently used clinical pharmacy services (97% of hospitals), pharmacy‐based intravenous admixture services (81%), computerized decision support modules for pharmacy order entry systems (77%), unit‐dose drug distribution systems (75%) and computerized medication administration records (67%). Hospitals infrequently used bar‐coding (9% of hospitals) and computerized physician order entry (9%). A majority of respondents and hospitals favoured expanded use of new technologies and planned for increased uptake. Respondents chose as their hospital’s next investment: automated dispensing (33%), bar‐coding (25%) and computerized physician order entry (12%). Conclusion Canadian hospitals appear poised to make sizeable investments in poorly evaluated technologies that address medication safety. 相似文献
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王德智 《临床心身疾病杂志》2016,(6)
目的:探讨我院药物调配差错情况,为提高我院门诊药物调配质量提供参考。方法收集2015全年门诊药房主管药师审核发现的各项药物调配差错并进行分析,找出调剂过程中各个环节存在的问题,针对常见的调剂差错进行归因分析。结果1288例原始记录中以数量差错和品种差错为主要问题,分别占总差错率的36.65%和28.34%。结论高度的责任心和过硬的专业知识是避免配药差错的基础。 相似文献
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目的探讨最佳的摆药流程与实施效果。方法运用摆药新流程模式,利用自动分包机按病区、时间段、规定时间点摆药。结果减少了药品污染和护士校对工作量,提高了摆药效率。结论新的工作流程提高了中心摆药的工作效率。 相似文献
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Claude Dussart PharmD PhD Sophie Dussart MD David Almeras PharmD Isabelle Camal PharmD Gilles Grelaud PharmD 《Journal of evaluation in clinical practice》2009,15(2):252-256
Rationale and aims Hospital pharmacy aims at optimizing pharmaceutical care practice. Classically, assessing patient's satisfaction is required. Same manner, for a service provider such as a hospital pharmacy, it is necessary to evaluate the satisfaction of its customers: physicians, nurses and pharmacy staff. The aim of this paper was to assess user satisfaction with an individualized dispensing system. Method A survey including 14 close‐ended and 1 open‐ended questions was repeated at several years' distance in a French military teaching hospital. Questionnaires were administered anonymously to the different actors involved: physicians, nurses, pharmacy staff. Results Fifty‐seven users of an individualized dispensing system (29 nurses, 18 physicians and 10 pharmacy staff) were included in the survey. At the level of the establishment, users' opinion about the system was positive. None of the dimensions studied concerning the pharmaceutical service was rated negatively. Overall user opinion about the computer system was the only parameter rated negatively. In total, most dimensions were judged satisfactory: confidence in the individualized dispensing system, time of delivery at the care unit, impact on cost control, quality of the presentation of unit doses and performance of respondents. The benefit for the patients was judged very satisfactory. The workload involved, the frequency and severity of errors, the serviceability of the information processing system and its impact on patient safety were judged fairly satisfactory. Finally, the quality of pharmaceutical information was rated average. Conclusions An evaluation of a service or a practice should include an assessment of how well the service meets the needs of the user and how well the service is provided. A comprehensive, reliable and valid instrument for assessing user's satisfaction with individualized dispensing system is then available in our hospital. This paper demonstrated the interest of using simple and robust tools in professional practice. 相似文献