Page 108 - 《中国药房》2023年16期

口服单剂量配方制药品自动核对模式的建立与优化

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邱婷婷 ，闫盈盈，张毓宸，张晨辰，程吟楚，孔宪伟，杨毅恒（北京大学第三医院药剂科，北京 100191）
中图分类号 R952 文献标志码 A 文章编号 1001-0408（2023）16-2018-04
DOI 10.6039/j.issn.1001-0408.2023.16.19

摘 要 目的 为医疗机构建立口服单剂量配方制药品自动核对模式、提高核对效率提供参考。方法 我院成立自动核对流程再
造小组，采用ECRSI法，根据取消、合并、调整、简化、增加五大原则梳理我院单剂量配方药袋的核对流程及模式，并对硬件串联不
佳问题和系统假阳性报错占比过高问题进行优化。随机抽取10个病区的单剂量配方药袋，比较人工核对与优化前后自动核对模
式下的工作效率和出门差错率，以及优化前后自动核对模式下的假阳性报错情况。结果 建立口服药品单剂量配方药袋自动核对
模式后，除心血管内科和肾脏内科外的其余8个病区的药袋平均核对用时均显著短于人工核对模式（P＜0.05）。自动核对模式进
一步优化后，所有病区的药袋平均核对用时均显著短于人工核对模式（P＜0.05）；与优化前的自动核对模式比较，每袋的平均核对
用时缩短了0.43 s，有半数病区的药袋平均核对用时均显著缩短（P＜0.05）；同时，假阳性报错占比从优化前的96.83%下降到优化
后92.76%（P＜0.05），出门差错率从人工核对模式下的0.039‰下降到优化前的0.019‰、优化后的0.015‰（P＜0.05）。结论 基于
ECRSI法构建的口服单剂量配方制药品自动核对模式可有效降低药袋的平均核对用时，减少出门差错，提高药师的工作效率。
关键词 单剂量配方制；ECRSI法；自动核对模式；人工核对模式；口服药品

Construction and optimization of automatic checking mode for unit dose dispensing system of oral drugs

QIU Tingting，YAN Yingying，ZHANG Yuchen，ZHANG Chenchen，CHENG Yinchu，KONG Xianwei，
YANG Yiheng（Dept. of Pharmacy， Peking University Third Hospital， Beijing 100191， China）

ABSTRACT OBJECTIVE To provide a reference for establishing an automatic checking mode and improving the checking
efficiency of the unit dose dispensing system of oral drugs in hospital. METHODS The automatic checking process reengineering
team was established in our hospital. ECRSI method was adopted to sort out the verification process and mode of drug bags for the
unit dose formula of our hospital through five principles of eliminating， combining， rearranging， simplifying and increasing， and
the hardware series problem and the problem of excessive system false-positive proportion were optimized. The drug bags for the
unit dose formula were randomly selected from 10 wards， the efficiency and external error rates of manual check and automatic
checking mode before and after optimization were compared， and the false-positive reporting failure in automatic checking mode
was also compared before and after optimization. RESULTS After the establishment of the automatic checking mode of the unit
dose formula for oral drugs， the average checking time of drug bags was significantly shorter than that of manual checking mode in
the other 8 wards except for cardiovascular and renal departments （P＜0.05）. After the optimization of the automatic checking
mode， the average checking time of drug bags in all wards was significantly shorter than that in manual checking mode （P＜0.05）.
Compared with before optimization of the automatic checking mode， the average checking time of drug bags was shortened by 0.43
s， and the average checking time of drug bags in half of the wards was shortened significantly （P＜0.05）. At the same time， the
false-positive proportion decreased from 96.83% before optimization to 92.76% after optimization （P＜0.05）. The external error rate
dropped from 0.039‰ in manual checking mode to 0.019‰ before optimization and 0.015‰ after optimization （P＜0.05）.

CONCLUSIONS Based on ECRSI method， the automatic checking mode for the unit dose dispensing system of oral drugs can
effectively reduce the average checking time of drug bags， reduce external error and improve the work efficiency of pharmacists.
KEYWORDS unit dose dispensing system； ECRSI； automatic checking mode； manual checking mode； oral drugs

单 剂 量 配 方 制（unit dose dispensing system，
＊第一作者 主管药师，硕士。研究方向：药事管理、循证药学。
UDDS），又称为单元调剂或单剂量配方，即调剂人员把
E-mail：13661350431@163.com
患者所服用的各种固体制剂按照单次服用剂量，借助
# 通信作者 主任药师，硕士。研究方向：药事管理、药学质控。E-
mail：13641066540@163.com 全自动单剂量药品分包机（automatic medicine packing

· 2018 · China Pharmacy 2023 Vol. 34 No. 16 中国药房 2023年第34卷第16期