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目的:促进重症监护室(ICU)病区药品的规范化管理。方法:分析比较智能药柜在我院ICU病区使用前后工作模式的变化及相关工作指标的数据变化(各3个月内),评价其使用效果。结果与结论:使用智能药柜后,病区基数药品管理由开放式改变成智能化、封闭式和权限式管理,药品库存和成本管理更科学,人员岗位设置更优化;在医嘱数量无差异的情况下,初始用药时间由约170 min缩短至约131 min(P<0.05),每日备药时间和退药处理时间分别由(81.20±3.56) min缩短至(30.04±7.55) min、(9.18±2.79) min缩短至(6.47±4.66) min(P<0.05)。智能药柜的使用提高了工作效率,规范了药品管理,促进了医疗安全,为开创病区药品管理的新模式提供了借鉴。
OBJECTIVE: To promote standard management of drugs in ICU area. METHODS: The change of work mode in ICU area of our hospital was analyzed and compared after the application of automated drug dispensing system (ADDS) as well as the change of related indicators 3 months before and after the application of ADDS; the effect of ADDS was evaluated. RESULTS & CONCLUSIONS: After the application of ADDS, the management of base drugs changed from open management to intelligent, closed-off and authority management; drug storage and cost management became more scientific, and staff allocation became more optimal. Under the condition of zero difference in the number of medical orders, initial medication time shortened from 170 min to 131 min (P<0.05), time of daily drug preparation and drug repercussion shortened from (81.20±3.56) min to (30.04±7.55) min, and (9.18±2.79) min to (6.47±4.66) min (P<0.05). The application of ADDS can improve work efficiency, standardize drug management, promote medical safety, and provide reference for initiating a new mode of drug management in wards.
智能药柜病区药品管理工作模式效果分析
Automated drug dispensing systemDrug management of wardsWork modeEffect analysis
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