基于入口-物品-数量ABC分析法和跟踪利用率算法的自动配药机有效性优化

Fengling Li, Yixuan Zhong, Huiting Zhong, Xiuyue Zeng
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摘要

现代医院药房正经历着大规模的信息化、自动化转型。随着自动调剂系统在我国各大医院的广泛应用,其应用价值日益得到证实。然而,与其他国家相比,中国药房的自动化相对滞后,国内医院药房使用进口自动化设备处理巨大的处方负担,在医院患者流量高峰时保持高自动化效率面临巨大挑战。目的应用EIQ -ABC分析法和跟踪利用率算法,优化自动配药机药品存储系统,提高药房自动化效率。方法选取2020年6月我院门诊药房药品调剂系统CONSIS自动调剂系统中76069张处方,采用EIQ-ABC分析方法对各药品的调剂量和频率进行关联分类。根据分类结果调整自动分配器中的药品品种,然后采用跟踪利用率算法优化药品存储空间。通过对比优化前后的自动点药量速率、实时窗口点药速率和处方比,评价该方法的性能。结果实施EIQ-ABC分析方法和跟踪利用率算法后,配药量平均自动化率、实时窗口平均配药率和实时窗口平均处方比分别提高了2.46%、4.4%和4.87%,显著高于实施前(P < 0.05)。结论采用EIQ-ABC分析法和轨迹利用算法对自动配药机的药品品种和存储空间进行优化,可以充分利用存储空间,减少配药机缺药的情况,提高全自动配药率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness Optimization of an Automatic Medicine Dispenser Based on the Entry-Item-Quantity ABC Analysis Method and Track Utilization Rate Algorithm
Modern hospital pharmacies are undergoing broad-scale shifts toward informatization and automation. With the widespread use of automated medicine dispensing systems in major Chinese hospitals, their application value has been increasingly confirmed. However, relative to other countries, automation of China’s pharmacies was relatively delayed, and the use of imported automated equipment in domestic hospital pharmacies dealing with an enormous prescription burden poses substantial challenges in maintaining high automation efficiency when the hospital patient flow is at its peak. Objective to optimize the medicine storage system of automatic medicine dispensers and to improve the automation efficiency of pharmacies using the entry-item-quantity (EIQ)-ABC analysis method and a track utilization rate algorithm. Methods A total of 76,069 prescriptions from the CONSIS automated medicine dispensing system of medicine dispensing system of our hospital’s outpatient pharmacy were selected in June 2020, and the EIQ-ABC analysis method was used to perform associative classification of the dispensing volume and frequency of each medicine. The varieties of medicines in the automatic dispenser were adjusted according to the classification results, and then, the storage space of medicines was optimized using a track utilization rate algorithm. The performance of this method was evaluated by comparing the automatic rate of the dispensing volume, and the real-time window dispensing rate and prescription ratio before and after optimization. Results After the implementation of the EIQ-ABC analysis method and track utilization rate algorithm, the average automation rate of dispensing volume, real-time window average dispensing rate, and real-time window average prescription ratio increased by 2.46%, 4.4%, and 4.87%, respectively, which were significantly higher than those before implementation (P < 0.05). Conclusion Using the EIQ-ABC analysis method and the track utilization algorithm to optimize the varieties and storage space of medicines in an automatic medicine dispenser can fully utilize storage space, reduce instances of lack of medicine in the dispenser, and improve the fully automatic dispensing rate.
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