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目的:提升静脉用药调配中心(PIVAS)抗肿瘤药物摆药工作质量,减少摆药差错,减少摆药人员受到的抗肿瘤药物的职业暴露伤害。方法:介绍全自动针剂摆药系统的组成及功能,并将其用于PIVAS抗肿瘤药物的摆药工作中,比较该系统使用前后1个月的各项工作指标。结果:该系统包括用药医嘱信息处理软件、设备控制软件和摆药机硬件,具有自动盘点药品、自动进筐、自动摆药、自动打印瓶签等功能。启用全自动针剂摆药系统后,摆药流程中的输液标签打印、分筐和摆药操作由人工换为自动,节约了人力资源,每张标签平均摆药时间由原来的(33.00±3.31) s缩短为(15.55±1.41) s,摆药差错及破损数量降为0。结论:全自动针剂摆药系统的应用,实现了PIVAS抗肿瘤药物摆药的自动化,减少了摆药差错,减少了工作人员接触抗肿瘤药物的机会,减少了其带来的职业暴露伤害。
OBJECTIVE: To improve the quality of antitumor drug dispensing in pharmacy intravenous admixture services (PIVAS), reduce dispensing error and occupational exposure to dispensers by antitumor drugs. METHODS: The composition and functions of automatic injection dispensing system were introduced, and the system was applied in antitumor drug dispensing in PIVAS. Various work indexes were compared 1 month before and after the application of the system. RESULTS: The system included information processing software, equipment control software and drug dispensing machine hardware, and had functions such as automatic counting of medicines, automatic entry into basket, automatic drug dispensing and automatic printing of labels. After applying automatic injection dispensing system, the operation of infusion label printing, basket dividing and dispensing in dispensing process was changed from manual to automatic. It could save human resources, as for each label, the average time of drug dispensing decreased from (33.00±3.31) s to (15.55±1.41) s while no mistakes and damaged label was found. CONCLUSIONS: The application of automatic injection dispensing system achieves automatic operation of antitumor drug dispensing in PIVAS, reduce dispensing error reduces staff’s exposure to antitumor drugs and occupational exposure.
静脉用药调配中心全自动针剂摆药系统抗肿瘤药物自动化
Pharmacy intravenous admixture servicesAutomatic injection dispensing systemAntitumor drugAutomatic
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