李晓霞 熊伟 刘永平 陈彩萍 张启祥 林能明

中图分类号 R952 文献标志码 A 文章编号 1001-0408（2021）23-2906-05

DOI 10.6039/j.issn.1001-0408.2021.23.16

摘 要 目的：实现住院药房片剂的精细化管理，保障患者用药安全。方法：基于智慧药学，对单独使用自动分包机模式下的分包流程进行优化改造，在取药、拆药、加药等环节中应用掌上电脑（PDA）条碼扫描技术，实现批号和库存的实时追踪，完善片剂的药品闭环管理。比较流程改进前后调剂的差错率，人力资源消耗工时以及药师/护士满意度。结果：流程改进后，片剂调剂差错率从流程改进前的1.637‰降到0.082‰（P<0.01），人力资源消耗工时从（7.52±0.33） h缩减至（5.11±0.24） h（P<0.01），药师/护士满意度从66.5%提高到93.4%（P<0.01）。结论：在全自动药品分包机的基础上，通过PDA条码扫描技术的应用，规范了住院药房片剂的管理，补充完善了药品闭环信息，实现了批号追踪与库存管理，降低了片剂调剂差错率，提高了药师的工作效率和满意度，保障了临床用药安全。

关键词 智慧药学;精细化管理;PDA条码扫描技术;全自动药品分包机

Application of PDA Barcode Scanning Technology in Automated Tablet Dispensing and Packaging System in Our Hospital

LI Xiaoxia1，XIONG Wei1，LIU Yongping1，CHEN Caiping2，ZHANG Qixiang1，LIN Nengming3（1. Dept. of Pharmacy， Jiande First People’s Hospital， Hangzhou 311600， China; 2. Dept. of Nursing， Xin’anjiang Street Community Health Service Center of Jiande City， Hangzhou 311600， China; 3. Dept. of Pharmacy， the Affiliated Hangzhou First People’s Hospital， Zhejiang University School of Medicine， Hangzhou 310006， China）

ABSTRACT   OBJECTIVE： To realize refined management of tablets in the inpatient pharmacy， and to ensure the medication safety of patients. METHODS： Based on intelligent pharmacy， the dispensing and packaging process under the automated drug dispensing and packaging system （ADDPS） mode was optimized and modified; PDA barcode scanning technology was applied in all links of taking， dismantling and adding， so as to realize the real-time tracking of batch number and inventory， and improve the drug closed-loop management of tablets. The error rate， staff consumption time and pharmacist/nurse satisfaction were compared before and after the process improvement. RESULTS： After the process improvement， the dispensing error rate was decreased from 1.637‰ before improvement to 0.082‰ （P<0.01）; the staff consumption time decreased from （7.52±0.33） h to （5.11±0.24） h （P<0.01）; the pharmacist/nurse satisfaction increased from 66.5% to 93.4% （P<0.01）. CONCLUSIONS： Based on ADDPS， the application of PDA barcode scanning technology standardizes the tablets management of inpatient pharmacy， supplements and improves the drug closed-loop information， realizes batch number tracking and inventory management， reduces the occurrence of tablet dispensing errors， improves the work efficiency and satisfaction of pharmacists， and ensures the safety of clinical medication.

KEYWORDS   Intelligent pharmacy; Refined management; PDA barcode scanning technology; Automated drug dispensing and packaging system

智慧药学的定义是利用大数据、云计算、人工智能、物联网和区块链等新兴技术，围绕药品供应保障、临床药学服务以及药事管理等医院药学核心工作，构建全流程、信息化、智能化解决方案，以提升医院药学工作的效率与质量，从而实现医院药学高质量发展[1-2]。

全自动药品分包机是根据医院信息系统（HIS）传输的医嘱信息，自动将患者每次需要服用的药品包入同一药袋内，从而实现药品单剂量包装的设备[2]。该机器根据医嘱信息将药品包装时间、科室、患者姓名、药品名称、药品规格、药品数量、服药时间、条码等关键信息打印在包装袋上，便于药师、护士核对以及患者服用[3]。……