我院自动包药机单剂量调剂模式实施情况及体会

目的:为自动包药机的使用提供借鉴。方法:从管理制度等方面介绍我院自动包药机单剂量调剂模式实施情况,统计、分析其试运行及调试后的差错率,同时与人工调剂口服医嘱进行强度及准确度比较。结果与结论:通过人员管理、自动包药机管理、药品管理等制度的建立规范其操作流程;通过对自动包药机的调试,机器故障、医嘱错误差错率分别由0.085‰、1.15‰降低至0.009‰、0.09‰,人工加药错误、网络原因产生的差错均分别由0.021‰、0.085‰降低至0;与人工调剂口服医嘱相比,自动包药机的包药量是其1.73倍,差错率仅约为其1/8,包药时间约为其4/5。使用自动包药机可明显提高药品调剂的工作效率,降低了药品污染,保障了调剂人员的安全,但缺乏大容量的药品包装是目前亟待解决的问题。药师应积极与工程师沟通、协调,不断根据运行中的具体情况,对包药机的程序重新设置或调试,以使其在调剂药品时更加准确、有效。

Implementation and Experience of Unit-dose Dispensing Mode of Automatic Package Machine in Our Hospital

OBJECTIVE： To provide reference for the application of automatic package machine. METHODS： The implementation of unit-dose dispensing mode of automatic package machine in our hospital was introduced in respect of management system, and the error rates after trial running and adjustment were analyzed statistically. Unit-dose dispensing mode of automatic package machine was compared with manual dispensing oral medication orders in terms of intensity and accuracy. RESULTS ＆ CONCLUSION： The operation procedure was standardized by establishing systems of staff management, automatic package machine management, drug management, etc. After adjustment of automatic package machine, rates of mechanical defects and medication error decreased from 0.085‰, 1.15‰ to 0.009‰, 0.09‰, and rates of manual error and network error decreased from 0.021‰, 0.085‰ to 0. Compared with manual dispensing oral medication order, drug package amount of automatic package machine was 1.73 times of it, error rate of automatic package machine was one eighth of it and package duration of automatic package machine was four fifth of it. The application of automatic package machine can improve the working efficiency of drug dispensing effectively, reduce drug pollution and guarantee the safety of dispensary staff. It is urgent to meet the requirements of large-scale drug package. Pharma- cist should communicate and mediate with engineers actively, reset or adjust the procedure of package machine according to the running condition to improve drug dispensing more effectively and safely.