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通过自动化系统改善住院医疗药物配送
Afaf Almalki1, Aseel Jambi1, Basem Elbehiry1
1Department of Pharmacy, King Fahad Armed Forces Hospital, Ministry of Defense, Jeddah, Saudi Arabia.
Global journal on quality and safety in healthcare
|February 26, 2024
概括
实施自动化药柜 (ADC) 显著减少了药物错误和浪费. 这项质量改进计划减少了83%的药物回收时间,并将每月的消费量减少了24%.
科学领域:
- 医疗保健管理的管理
- 临床药房 临床药房
- 提高质量 提高质量
背景情况:
- 药物库存管理和错误预防是复杂的挑战.
- 单一的干预往往不足以实现全面的改善.
- 统一的药物配送和分销系统可以提高安全性,效率并减少浪费.
研究的目的:
- 减少药物订单到药物服药时间超过70%.
- 将住院患者每月的药物消耗量减少20%以上.
- 将病房药品库存减少70%以上,包括退货和过期药品损失.
主要方法:
- 采用六西格玛方法来解决药物管理中的缺陷.
- 故障模式效应分析 (FMEA) 和工作人员调查评估了自动化配药柜 (ADC) 的实施情况.
- 对昂贵,滥用和受限制的药物实施了重新设计的工作流程.
主要成果:
- 从药物订购到服药的周转时间减少了83%,没有报告的延迟事件.
- 自动化药柜 (ADC) 提高了护士和药剂师的生产率超过40%.
- 每月的药物消费减少了24%,估计每年节省了410万美元. 返回的物品减少了72%,每年从过期药物中节省约75万美元.
结论:
- 质量改进项目成功提高了库存控制,降低了配药成本,改善了周转时间.
- 药物延迟事件被最小化,工作人员报告了积极的满意度水平.
- 未来的努力将集中在对麻醉剂,麻醉剂和冷藏产品的重新设计管理上.
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