Page 103 - 《中国药房》2020年23期

·药师与药学服务·

我院智慧中心药房管理模式的建设与应用 Δ

＊
#
王 玮 ，沈国荣 ，王 永，包健安（苏州大学附属第一医院药学部，江苏 苏州 215006）
中图分类号 R952 文献标志码 A 文章编号 1001-0408（2020）23-2909-05
DOI 10.6039/j.issn.1001-0408.2020.23.16

摘 要 目的：为实现医院中心药房的智能一体化管理提供参考。方法：介绍我院智慧中心药房管理模式的建设经验，包括采用
信息化手段，引进自动化设备，对中心药房进行合理布局；优化工作流程，建立一体化管理模式等。从我院医院信息系统（HIS）中
收集智慧中心药房建设前（2016年）、建设中（2017－2018年）及运行后（2019年）我院中心药房的工作量，包括注射剂医嘱数量、医
嘱审核数量、PIVAS调配数量、口服医嘱数量、出院带药医嘱数量等；并计算各年度日均注射剂医嘱量、平均调配速度、病区送药及
时率、医嘱调配差错等；统计我院智慧中心药房运行前后的药师排班情况；此外，每季度对我院中心药房服务的39个病区的医护
人员进行满意度调查，以评价智慧中心药房管理模式的实施成效。结果：2016－2019年，我院中心药房的工作量总体均呈上涨趋
势，日均处方量逐年增加，且2017－2019年显著高于2016年（P＜0.05）；2018－2019年中心药房的平均调配速度、病区送药及时
率、医嘱调配差错数均显著低于2016年（P＜0.05）。中心药房每日安排的调剂岗位药师数量由2016年的22人减少至2019年的18
人，节省了4人。4年间共计发放867份满意度调查问卷，回收862份有效问卷，有效回收率均在99％以上。病区医护人员对中心
药房的工作满意度较高，2016－2019年的平均满意度分别为96.8％、98.4％、99.1％、99.1％。结论：我院建立的一体化智慧中心药
房管理模式，实现了住院患者用药医嘱调配的信息化、自动化管理；合理安排不同职称等级专业技术人员的工作内容，不仅节省了
人力成本，还增加了药学服务内容，拓宽了工作深度，从而提高了工作效率，保证了药学服务质量。
关键词 中心药房；智慧药房；静脉用药调配中心；管理模式

Construction and Application of Intelligent Central Pharmacy Management Mode in Our Hospital
WANG Wei，SHEN Guorong，WANG Yong，BAO Jian’an（Dept. of Pharmacy，the First Affiliated Hospital of
Soochow University，Jiangsu Suzhou 215006，China）

ABSTRACT OBJECTIVE：To provide reference for intelligent management of central pharmacy. METHODS：The construction
experience of intelligent central pharmacy management mode were introduced，including the use of information technology，the
introduction of automation equipment，the rational layout of the central pharmacy，as well as the optimization of work flow，and
the establishment of integrated management mode，etc. The workload of intelligent central pharmacy in our hospital before
construction（2016），during construction（2017-2018）and after operation（2019）were collected from our hospital information
system（HIS），including the number of injection doctor’s orders，the number of doctor’s orders reviewed，the number of PIVAS
deployment，the number of oral medical orders，the number of medical orders discharged with medicine，etc. The pharmacist
scheduling before and after the operation of intelligent central pharmacy in our hospital was counted. The average daily quantity of
injection prescription，average dispensing speed，timely delivery rate and dispensing errors were calculated. In addition，the
satisfaction of medical staff in 39 wards of our hospital were investigated every quarter to evaluate the implementation effect of
intelligent central pharmacy management model. RESULTS：From 2016 to 2019，the workload of the central pharmacy in our
hospital showed an overall upward trend，and the average daily prescription amount increased year by year，and the average daily
prescription amount in 2017-2019 was significantly more than that in 2016（P＜0.05）. Average dispensing speed，timely delivery
rate and dispensing errors of central pharmacy during 2018-2019 were significantly lower than 2016（P＜0.05）. The daily number
of pharmacists in dispensing posts in the central pharmacy was reduced from 22 in 2016 to 18 in 2019，with 4 pharmacists saved.
During the 4 years，867 questionnaires were distributed and 862 valid questionnaires were recovered. The effective recovery rate
was above 99％. The average satisfaction of medical staff in the ward to the central pharmacy was high relatively，being 96.8％，
98.4％ ， 99.1％ and 99.1％ respectively from 2016 to 2019. CONCLUSIONS：The integrated intelligent center pharmacy
management mode established in our hospital has realized the information and automatic management of inpatient medication order
dispensing；reasonable arrangement of the work contents of professional and technical personnel with different professional titles
can not only save the labor cost，but also increase the content
Δ 基金项目：国家“重大新药创制”科技重大专项（No.2017ZX-
of pharmaceutical care，broaden the work depth，so as to
09304021）
＊主管药师，博士。研究方向：医院药学。E-mail：weiwangcpu@ improve the work efficiency and ensure the quality of
126.com pharmaceutical care.
# 通信作者：主任药师。研究方向：医院药学。E-mail：sgrong@ KEYWORDS Central pharmacy； Intelligent pharmacy；
126.com PIVAS；Management mode

中国药房 2020年第31卷第23期 China Pharmacy 2020 Vol. 31 No. 23 ·2909 ·