顾君 雷琼 张倢 王永 沈国荣 包健安

摘 要 目的：缩短我院中心药房口服药调配时间，降低调剂差错率，提高药师工作效率。方法：应用全自动单剂量药品分包机（ATC）串联自动核对机（MDM）调剂模式（ATC-MDM串联调剂模式）对我院住院患者口服药品进行调剂。以调配时间、日均分包数、药师人数、错误药袋识别准确度等为指标，对比分析ATC-MDM串联调剂模式与单一ATC调剂模式的运行效果。结果：相比单一ATC调剂模式，ATC-MDM串联调剂模式不受药品种类及数量影响，启用后药师调配时间人均缩短约1.5 h；人力成本减少2人；日均分包数增加约500包；错误药袋自动检测率达100%，药品分包准确率提高；药品核对数据可自动保存并生成管理报告。结论：ATC-MDM串联调剂模式缩短了药品调剂时间，降低了调剂差错率，有助于提高药师工作效率。

关键词 中心药房；全自动单剂量药品分包机；全自动核对机；调剂模式

ABSTRACT OBJECTIVE： To shorten medicine dispensing time reduce dispensing error rate and improve work efficiency of pharmacists in central pharmacy of our hospital. METHODS： Automatic medicine packaging machine （ATC） coupled with Automatic medicine detection machine （MDM） dispensing mode （ATC-MDM series dispensing mode） were used to dispense oral medicines for inpatients of our hospital. Using dispensing time， the number of daily packaging， number of pharmacist， accuracy of wrong medicine package identification as indexes， the effects of ATC-MDM series dispensing mode and ATC dispensing mode were compared and analyzed. RESULTS： Compared with ATC dispensing mode， ATC-MDM series dispensing mode could not be influenced by medicine type and number， and the time of medicine dispensing was shortened by about 1.5 h per person； labor cost was decreased by 2 persons； the number of daily packing was increased by about 500 packages. The rate of automatic wrong medicine package detection reached 100%， and accuracy of medicine packaging was improved. The data of medicine checking could be automatically saved and generated management reports. CONCLUSIONS： ATC-MDM series dispensing mode can shorten medicine dispensing time， reduce the rate of dispensing error and contribute to the improvement of pharmacists work efficiency.

KEYWORDS Central pharmacy； Automatic medicine packaging machine； Automatic medicine detection machine； Dispensing mode

近年來，随着医院药学的高速发展及医院药房管理水平的显著提高，自动化摆药设备及系统已在医院药房的工作与运行中发挥着越来越重要的作用[1-3]。目前，国内大部分采用自动包药机联合人工核对的工作模式进行住院药房药品调配，人工核对时需按照“四查十对”原则审核药袋，需一一查看患者科别、姓名、年龄、药名、剂型、规格、药品性状等，核对药袋是否有串袋（上一袋的药片掉进下一袋中）、少药或无药现象，药袋数量是否与实际医嘱数量相符等[4-5]。我院于2015年引进2台日本产全自动单剂量药品分包机（ATC）替代手工调剂。……