我院自动包药机工作耗时分析及改进措施

目的:为缩短自动包药机调剂模式工作耗时提供参考。方法:利用Excel表统计我院2013年3月中心药房自动包药机(ATC)调剂模式工作耗时中临时投药盘装填、缺药时补充装填、包药袋的补充、机器点击操作、打印色带的更换等操作程序的耗时百分比,分析导致工作耗时的主要因素,并提出改进措施。结果与结论:临时投药盘装填、缺药时补充装填、补充药袋、机器点击操作、更换色带等分别占工作耗时的48%、42%、6%、2%、2%,其中临时投药盘装填(人为因素)和缺药时补充装填(机器因素)是导致ATC工作耗时的最主要因素。通过改进机器操作指令、将需要的耗材和药物摆放在就近地方以及对相关药物做好预处理等方法尽量缩短操作距离和操作时间,与改进前(总耗时224.3分钟)比较有效缩短了工作耗时31分钟(总耗时193分钟)。

Analysis and Improvement of Time Consuming for Automatic Medicine Packaging Machine in Our Hospital

OBJECTIVE ： To provide reference for reducing time consuming for dispensing mode of automatic medicine packag- ing machine （ATC）. METHODS： Using the Excel, the percentage of time consuming of operation procedures in that of ATC from pharmacy center of our hospital in Mar. 2013 was analyzed statistically, such as filling dispensing disk temporarily, filling medi- cine shortage, replenishing medicine bag, clicking and operating, replacing ribbons. The main influential factors of time consuming work were analyzed, and the measures of improvement were put forward. RESULTS ＆ CONCLUSIONS： The percentages of time consuming of filling dispensing disk temporarily, filling medicine shortage, replenishing medicine bag, clicking and operating, re- placing ribbons are 48%, 42%, 6%, 2% and 2%, respectively. Filling dispensing disk temporarily （human factor） and filling medicine shortage （machine factor） are the main factors leading to ATC time consuming. We can improve the machine operation in- struction, put the supplies and drugs in the nearest place and do pretreatment for related drugs to reduce operation distance and oper- ation time. Time consumption （224.3 rain） has decreased by 31 rain after improvement, compared with before （193 min）.