| 王之舟,褚燕琦,程红勤,闫素英.神经外科ICU自动化智能药柜的建立与应用[J].中国药事,2020,34(6):714-720 |
| 神经外科ICU自动化智能药柜的建立与应用 |
| Establishment and Application of Automated Dispensing Cabinets in Neurosurgical Intensive Care Unit |
| 投稿时间：2019-12-29 |
| DOI：10.16153/j.1002-7777.2020.06.015 |
| 中文关键词: 自动化智能药柜 药品管理 药学服务 信息化 |
| 英文关键词: automated dispensing cabinets drug administration pharmaceutical care informatization |
| 基金项目:北京市科学技术委员会“北京老年人健康评估及维护关键技术研究”项目（编号D181100000218002） |
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| 中文摘要: |
| 目的： 通过神经外科ICU自动化智能药柜的建立，探讨改进传统基数药品管理模式，提高患者用药的及时性、安全性，为病区创建信息化药品管理模式提供参考。方法： 介绍我院神经外科ICU自动化智能药柜的主要构成、工作模式建立，并通过比较智能药柜与传统基数药管理模式下临时医嘱药品取用时间差异及对27名护士进行满意度调查问卷评价智能药柜应用效果。结果： 接入临床决策支持系统（CDSS）的智能药柜在神经外科ICU的应用实现了病区基数药品全流程闭环管理。与传统基数药取用模式比较，智能药柜的应用将每条临时医嘱取药和执行时间分别缩短至（5.7±3.86）min和（12.18±3.96）min。问卷调查中，护士对智能药柜的总体满意率为92.59%（25/27），有77.8%（21/27）的护士表示减少了用药错误的发生。结论： 自动化智能药柜的应用可以优化基数药品管理模式与工作流程，提高药物治疗及时性与安全性，提升工作效率和医疗质量，为病区创建信息化药品管理模式提供了思路与借鉴。 |
| 英文摘要: |
| Objective: Through the establishment of automated dispensing cabinets in the neurosurgical intensive care unit (NSICU), this paper discusses how to optimize the management mode of traditional cardinal drugs, improve the timeliness and safety of medication for patients and provide references for the establishment of information-based drug management mode in wards. Methods: The main components and the work flow of automated dispensing cabinets (ADCs) in NSICU are introduced. The differences of the dispensing time by temporary medical orders under the automated dispensing cabinets and the traditional information-based drug management mode are compared. The satisfaction questionnaire is carried out among 27 nurses on the effects of the automated dispensing cabinets. Results: The application of ADCs connected with clinical decision support system (CDSS) in NSICU realized the closed-loop management of the whole process of the cardinal drugs in the wards. The average time of taking and executing every temporary drug order was shortened to (5.7±3.86) min and (12.18±3.96)min, compared with the traditional dispensing mode of drugs. In the questionnaire survey, the satisfaction rate of nurses to ADCs was 92.59%, and 77.8% of nurses indicated that application of ADCs reduced the occurrence of medication errors. Conclusion: The establishment of ADCs can optimize the drug management mode and working process, improve the timeliness and safety of medication treatment and improve the work efficiency and medical quality as well, which will provide ideas and reference for the ward to create an information-based drug management mode. |
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