将自动配药柜纳入配药流程。

IF 1.6 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Olivia Francois, Edith Hufschmid Thurnherr, Cedric Blatrie, Etienne Cousein, Ana Herranz, Farshid Sadeghipour, Pascal Bonnabry
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引用次数: 0

摘要

目标:自动配药柜 (ADC) 可提高用药安全、效率和投资回报。然而,在复杂的医院环境中,将自动配药柜整合到配药流程中可能具有挑战性。本研究旨在起草建议,帮助医院采用 ADC:方法:对欧洲七家使用 ADC 的医院进行了为期两天的访问。调查人员采用了观察网格、问卷调查和访谈的方法,每种方法都分为引入 ADC 前后的用药流程、主要步骤和涉及的资源、人体工程学和员工看法等主题:结果:ADC 被纳入了四种全局性医院配药系统(成包的药品从中心药房分发到病房进行配药)和三种提名系统,即针对特定病人的系统(为个人开具的药物剂量从中心药房分发到病房,ADC 作为补充库存)。ADC 项目的总体实施时间表已经确定:启动项目的自动化主要驱动因素、访问其他地点、试点测试(信息技术集成和员工培训)以及评估阶段(满意度、安全性、效率),以证明可能的扩展是合理的。用户(7 名药剂师、21 名护士、7 名数据工程师)指出了促进因素(如专门的项目经理、试点阶段、直观的设备)、障碍和需要改进的地方(新员工培训、病房工作流程重组、动态库存):尽管药房组织各不相同,但每家医院都提出了类似的挑战,并报告了项目实施过程中类似的主要步骤。虽然整合过程很复杂,但 ADC 能迅速为用户带来效益。通过遵循这些医院提出的实用意见和建议,新采用者可能会降低 ADC 项目失败的风险,并加速其整合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integrating automated dispensing cabinets into the medication dispensing process: feedback from the practice in European hospitals.

Objectives: Automated dispensing cabinets (ADCs) offer improved medication safety, greater efficiency and return on investment. However, integrating ADCs into medication dispensing processes can be challenging in complex hospital environments. This study aimed to draft suggestions to help hospitals adopt ADCs.

Methods: Two-day visits were organised in seven European hospitals operating ADCs. Investigators used an observational grid, a questionnaire and interviews, each divided into the themes of medication processes before and after the introduction of ADCs, the major steps followed and the resources involved, ergonomics and staff perceptions.

Results: ADCs were integrated into four global hospital medication dispensing systems (packs of drugs are distributed from the central pharmacy to wards for dispensing) and three nominative systems-that is, patient-specific ones (drug doses prescribed for individuals are distributed from the central pharmacy to wards with ADC as supplementary stock). A general ADC project implementation timeline was shaped: main drivers of automation to initiate the project, visit of other sites, pilot test (with IT integration and staff training), and evaluation phase (satisfaction, safety, efficiency) to justify a possible expansion. Users (7 pharmacists, 21 nurses, 7 data engineers) identified facilitators (such as a dedicated project manager, a pilot phase, an intuitive device), barriers and any improvements needed (training for incoming staff, reorganisation of ward workflow, dynamic inventories).

Conclusions: Despite their diverse pharmacy organisations, each hospital raised similar challenges and reported analogous major steps in project implementation. Although integration processes are complex, ADCs rapidly provide users with benefits. By following the practical advice and recommendations from these hospitals, new adopters might reduce the risks of failed ADC projects and accelerate their integration.

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来源期刊
CiteScore
3.40
自引率
5.90%
发文量
104
审稿时长
6-12 weeks
期刊介绍: European Journal of Hospital Pharmacy (EJHP) offers a high quality, peer-reviewed platform for the publication of practical and innovative research which aims to strengthen the profile and professional status of hospital pharmacists. EJHP is committed to being the leading journal on all aspects of hospital pharmacy, thereby advancing the science, practice and profession of hospital pharmacy. The journal aims to become a major source for education and inspiration to improve practice and the standard of patient care in hospitals and related institutions worldwide. EJHP is the only official journal of the European Association of Hospital Pharmacists.
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