Page 124 - 中国药房2023年10期

我院儿科门急诊智能药房服务系统的建立与应用

高 艳 ，高 翔，王 岩，王 芃，肖亚男，孙燕燕（天津市儿童医院药剂科，天津 300134）
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中图分类号 R952 文献标志码 A 文章编号 1001-0408（2023）10-1266-05
DOI 10.6039/j.issn.1001-0408.2023.10.22

摘 要 目的 为医疗机构智能化药房的建设和各环节质量的把控提供参考。方法 梳理我院儿科门急诊药房在处方提取、调配、
药品资源利用、处方和患儿信息核对等环节存在的问题、难点和风险点，提出解决方案；建立我院儿科门急诊智能药房服务系统并
分析该系统的实施成效。结果与结论 针对缴费、取药、调配等各环节存在的药品易堆积、易发生调配差错、易发生投诉或纠纷和
调配安全隐患、药师误操作等风险点，通过增设智能排队环节，启用二维码，引入快速发药机、智能药架、智能拆零机等设备，构建
了我院儿科门急诊智能药房服务系统。该系统使用后，门诊药房的平均调配速度由 37.55 s/张提升至 16.97 s/张（直发处方）和
27.10 s/张（非直发处方），急诊药房的平均调配速度由26.98 s/张提升至19.61 s/张（P＜0.01）；药师步行劳动强度由4～16 m/张降低
至2～5 m/张，盘点时长由2.0～2.2 h/次缩短至1.5～1.7 h/次；调配差错由0.003%降至0（P＜0.01）；同时在缩短患儿家属取药等待
时长、精准补充药品和帮助患儿家属理解用药信息等方面均有所提高。该系统可促进我院儿科门急诊药学服务水平的提升。
关键词 儿科；门急诊药房；智能药房服务系统；建立；实施成效

Establishment and application of pediatric outpatient and emergency intelligent pharmacy service system
in our hospital
GAO Yan，GAO Xiang，WANG Yan，WANG Peng，XIAO Yanan，SUN Yanyan（Dept. of Pharmacy， Tianjin
Children’s Hospital， Tianjin 300134， China）

ABSTRACT OBJECTIVE To provide reference for the construction of intelligent pharmacy and quality control of each link in
medical institutions. METHODS The problems， difficulties， and risk points in the links of prescription extraction， allocation， drug
resource utilization， prescription and child information verification in pediatric outpatient and emergency pharmacy of our hospital
were sorted out to put forward the solutions. The pediatric outpatient and emergency intelligent pharmacy service system of our
hospital was established， and its effectiveness was analyzed. RESULTS & CONCLUSIONS In response to the risk points of drug
accumulation， dispensing errors， being prone to complaints or disputes， safety hazards in dispensing， and pharmacist’s incorrect
operation in various stages such as payment， taking medicine and dispensing， pediatric outpatient and emergency intelligent
pharmacy service system was established in our hospital by adding intelligent queuing links， enabling “QR codes”， introducing
devices such as rapid dispensing machines， intelligent drug racks， and intelligent dismantling machines. After using the system， the
average outpatient dispensing speed increased from 37.55 s/piece to 16.97 s/piece （direct delivery prescriptions） and 27.10 s/piece
（non-direct delivery prescriptions）， and the average emergency dispensing speed increased from 26.98 s/piece to 19.61 s/piece （P＜
0.01）. The walking distance for pharmacists to dispense prescriptions had decreased from 4-16 m/piece to 2-5 m/piece， and the
inventory rate had shortened from 2.0-2.2 h/time to 1.5-1.7 h/time. The rate of dispensing error decreased from 0.003% to 0 （P＜
0.01）. At the same time， the improvement of pharmaceutical service quality has been demonstrated in terms of shortening the
waiting time of family members of child， precise drug supplement and helping family members understand medication information.
The application of the system can further promote pediatric outpatient and emergency pharmacy services in our hospital.
KEYWORDS pediatrics； outpatient and emergency pharmacy； intelligent pharmacy service system； establishment； application
effectiveness

随着儿童人口数量的快速上升，儿童群体将面临巨 人满为患的现象极为普遍，儿科药师工作压力巨大。
大的医疗需求，其对儿童医疗机构医务人员的服务需求 传统模式下，药师需要花费大量的时间对处方信息
也将迎来新的高峰。天津市儿童医院（以下简称“我 进行人工审核、调配、核对、发药，工作量大、效率有限等
院”）作为三级甲等综合性儿科医院，门急诊就诊人数和 因素导致取药排队成为常态，“人等药”现象十分常见，
处方量常年居高不下，位列全市前茅，特别是取药窗口， 同时还存在药学交代服务不到位、调配差错难以避免等
不足。为了改善患儿及家属的就医体验，提高医疗机构
＊第一作者 副主任药师，硕士。研究方向：医院药学。电话：022- [1]
87787305。E-mail：gaoyanduoduo@126.com 现代化建设水平，顺应智能医疗机构的发展趋势 ，我院
# 通信作者 主任药师，硕士。研究方向：药事管理。电话：022- 以智能化管理手段为抓手，将处方系统与智能药房配药
87787303。E-mail：syytjcn@sina.com 系统无缝对接，同时针对儿科门急诊药学服务中普遍存

· 1266 · China Pharmacy 2023 Vol. 34 No. 10 中国药房 2023年第34卷第10期