Page 18 - 2019年9月第30卷第18期

“Internet + TCM”. Hospital information setting were divided into online and offline. The prescriptions that were not suitable for
online handling decoction and distribution service were clearly defined and the system locking settings were set up to realize
effective information transmission from hospital to smart pharmacy. The service platform of smart pharmacy were set up including
electronic prescription circulation system， whole-course prescription barcode recognition management system， electronic
prescription audit and dispensing system， intelligent decoction control management system， smart pharmacy distribution
management system，etc. It had realized seamless connection of information between smart pharmacy and patients. The internal
organization included six departments：prescription audit center，dispensing center，decoction center，individualized preparation
production center，logistics center and customer service center. Our hospital conducted daily supervision and management of the
entire work process of the smart pharmacy from aspect of hospital management and pharmacy management. The internal service
quality of smart pharmacy could be controlled by quality control system of prescription reviewing center，dispensing center，
decocting center，individualized preparation center，logistics center and customer service center and pharmaceutical personnel
training mechanism in smart pharmacy. Since the start of the smart pharmacy in June 2015，the number of people receiving the
services of smart pharmacy had increased significantly，and the types of services and service opportunities for patients had added；
the distribution service had added，and the service of individualized preparation processing and distribution had also added.
Moreover，the service capacity of smart pharmacy far exceeded the demand of our hospital，and other medical institutions could
share the platform of smart pharmacy. By simply counting the situation in our hospital，the average number of daily prescription
increased from 387 in Jun.-Dec. of 2015 to 1 433 in 2018；the error rate showed a downward trend，among which the abnormal
rate of prescription reviewing，the dispensing error rate，the decoction error rate and customer service complaints rate decreased
from 2.10％，0.13％，0.52％，0.13％ in Jun.-Dec. of 2015 to 0.45％，0.05％，0.27％，0.04％ in 2018；total timely investment
rate in logistics increased from 93.20％ in Jun.-Dec. of 2015 to 97.06％ in 2018. At present，the existing information platform，
internal organization，quality control system and supervision system could ensure the orderly operation of smart pharmacy and
could ensure the quality of drugs，decoction and distribution. CONCLUSIONS：However，the development of smart pharmacy in
our hospital is still in its infancy. In the future，it is still necessary to strengthen the construction of information software and
hardware，standardize the operation of various links，strengthen personnel training，establish an effective quality control system and
explore more objective supervision mechanisms.
KEYWORDS Internet+TCM；Smart pharmacy；Management model；Practice；Effectiveness

随着移动通信 4G、5G 业务的发展以及移动终端的 中医新型服务和提高中医药服务能力模式之一，梳理我
普及，医疗与通信信息技术融合更加紧密，移动医疗得 院智慧药房的建立和监管实践，对智慧药房的全社会推
[1]
到了迅猛的发展 。2015 年，国务院政府工作报告中关 广有借鉴意义。
[2]
注的焦点即有“互联网+”和“健康中国”战略 。国务院发 1 我院智慧药房产生的原因
布的《中医药发展战略规划纲要（2016－2030 年）的通 1.1 智慧药房产生的外部条件
[3]
知》中也明确提出要推动“互联网+中医医疗”。大力发 互联网发展迅猛，“互联网+”促使传统医疗行业转
展中医远程医疗、移动医疗、智慧医疗等新型医疗服务 型升级，为其提供技术支持 ；政府的政策鼓励支持，为
[7]
[1]
模式以及实现中医药服务的互联网化是大势所趋 。但 大力发展“互联网+中医医疗”保驾护航；智能手机的普
笔者认为中药取药等候时间长、中药代煎医院服务能力 及，网民上网习惯改变，使得“互联网+”的推广和应用越
有限、个体化制剂加工缺乏场所等瓶颈问题限制了中医 来越便捷。
药服务的发展。 1.2 智慧药房产生的内部条件
广东省中医院暨广州中医药大学第二附属医院（以 智慧药房在医院不增加人、财、物的情况下，实现分
下简称“我院”）在实现线上挂号、候诊提醒、划价缴费、 流候药人群、减少患者等候时间、提高医疗服务质量，并
诊疗报告查询等便捷服务后，于2015年6月在全国率先 满足需送药上门患者的需求。医院、患者及企业的需要
启动“智慧药房”项目，实现中药代煎、个体化加工、配送 为智慧药房的产生提供了内部条件，具体表现在以下几
等服务，缓解了上述的瓶颈问题，拓宽了中医药服务的 方面。
人群和领域。智慧药房又称“在线药房”“中央药房”“共 1.2.1 医院 缩短患者在医院的停留等候时间，减少交
享中药房”，是综合利用物联网、移动互联网和大数据技 叉感染的机会，改善就医环境和秩序；减少药房调剂、煎
术，结合自动控制技术，整合线上线下资源，对传统就医 煮人员，节约大量人力成本；帮助医院节省大量空间场
取药模式进行创新，实现了从支付、代煎、配送、咨询的 地；帮助医院节省大量资金；开拓新的药学服务；转变医
[4]
全流程在线信息化管理的一站式药事服务平台 。我院 院药师的职能，由药物供应服务转变为临床药学服务；
建立的智慧药房是以自动化调配发药机 、自助卖药机 [6] 提升患者对医院服务的整体满意度。
[5]
为主体的智慧药房服务的再延伸，是“互联网+中医药” 1.2.2 患者 节省患者候药的时间；解决患者不会煎药

中国药房 2019年第30卷第18期 China Pharmacy 2019 Vol. 30 No. 18 ·2461 ·