自动摆药机中手工添加药品的质量管理与优化

目的 加强自动摆药机DTA药品的质量管理，提高用药安全，降低用药风险。方法 收集河北省人民医院2017年11月-12月DTA药品使用和质量管理的数据及相关说明书加以统计分析，查找问题并提出优化措施；再统计2018年1月-2月的质量管理数据并评价管理效果。结果 优化措施：将DTA药瓶改用密封的分装药盒；重新制定DTA药品拆零记录表，引入使用天数和用药剂量的概念；由专人负责DTA药品效期管理。采取以上措施后，调剂差错数、药品报损数、平均周转天数等均明显降低。结论 药师应根据药品使用情况定期调整DTA药品目录和拆零数量。措施的制定对DTA药品的动态化管理与药品混批现象的改善均有积极作用。相关措施的实施可实现DTA药品的质量管理与优化，提高用药安全。

Quality Management and Optimization of the Manual Addition of Medicine in Automatic Dispensing Machine

OBJECTIVE To strengthen the drug quality management of DTA in automatic dispensing machine, improve the safety of medication and reduce the risk of medication. METHODS The data on use of DTA drugs and quality management and related instructions in Hebei Provincial People''s Hospital from Nov. to Dec. 2017 was collected and used for statistical analysis. The problems were searched and optimization measures were put forward; then management results were evaluated via counting the data of quality management from Jan. to Feb. 2018. RESULTS Optimization measures:the DTA medicine bottle was changed to sealed sub-assembly medicine box; the dismantling record table of DTA drugs was reformulated, and the concept of days of use and drug dosages of use was introduced; particular person was in charge of the management of DTA drugs validity period. After taking the above measures, the numbers of dispensing errors, reported drug losses and average days of turnover had been significantly reduced. CONCLUSION Pharmacists shall regularly adjust the catalogue of DTA drugs and the numbers of dismantling according to the situation of drug use. The formulation of the measures has a positive effect on the dynamic management of DTA drugs and the improvement of drug mixed batch phenomena. Implementation of the relative measures can realize the quality management and optimization of DTA drugs and improve the safety of drug use.