中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2014年
13期
42-44
,共3页
SHEL模式%全自动单剂量口服摆药机%安全管理
SHEL模式%全自動單劑量口服襬藥機%安全管理
SHEL모식%전자동단제량구복파약궤%안전관리
SHEL pattern%automatic tablet dispensing machine%safety management
目的：通过SHEL ( soft hard environment litigant )模式对药房自动化设备与传统药品管理模式相结合存在的问题进行分析并加以改进，减少全自动口服摆药机药品发放差错，加强药品管理，提高用药安全。方法回顾性分析医院2011年12月至2013年11月住院部药房全自动口服摆药机单剂量发放药品的差错68例，针对全自动单剂量口服摆药机药品发放差错的因素进行分类，应用SHEL模式综合评价药品发放差错的原因，提出相关改进措施。结果 SHEL模式对全自动单剂量口服摆药机药品发放差错的因素进行分析并改进后，住院药房药品发放差错数发生率降低了78.57%（χ2=8.526，P=0.036），提高了药品安全管理。结论运用SHEL模式能明确全自动单剂量口服摆药机安全管理中的缺陷，找出解决方案，提高药房自动化管理水平。
目的：通過SHEL ( soft hard environment litigant )模式對藥房自動化設備與傳統藥品管理模式相結閤存在的問題進行分析併加以改進，減少全自動口服襬藥機藥品髮放差錯，加彊藥品管理，提高用藥安全。方法迴顧性分析醫院2011年12月至2013年11月住院部藥房全自動口服襬藥機單劑量髮放藥品的差錯68例，針對全自動單劑量口服襬藥機藥品髮放差錯的因素進行分類，應用SHEL模式綜閤評價藥品髮放差錯的原因，提齣相關改進措施。結果 SHEL模式對全自動單劑量口服襬藥機藥品髮放差錯的因素進行分析併改進後，住院藥房藥品髮放差錯數髮生率降低瞭78.57%（χ2=8.526，P=0.036），提高瞭藥品安全管理。結論運用SHEL模式能明確全自動單劑量口服襬藥機安全管理中的缺陷，找齣解決方案，提高藥房自動化管理水平。
목적：통과SHEL ( soft hard environment litigant )모식대약방자동화설비여전통약품관리모식상결합존재적문제진행분석병가이개진，감소전자동구복파약궤약품발방차착，가강약품관리，제고용약안전。방법회고성분석의원2011년12월지2013년11월주원부약방전자동구복파약궤단제량발방약품적차착68례，침대전자동단제량구복파약궤약품발방차착적인소진행분류，응용SHEL모식종합평개약품발방차착적원인，제출상관개진조시。결과 SHEL모식대전자동단제량구복파약궤약품발방차착적인소진행분석병개진후，주원약방약품발방차착수발생솔강저료78.57%（χ2=8.526，P=0.036），제고료약품안전관리。결론운용SHEL모식능명학전자동단제량구복파약궤안전관리중적결함，조출해결방안，제고약방자동화관리수평。
Objective To adopt the soft hard environment litigant ( SHEL ) pattern to analyze the problems existing in the combination of the pharmacy automatic equipment and the traditional drug management,and to make the improvement for reducing the dispensing errors of the automatic tablet dispensing machine, strengthening the drug management and increasing the medication safety. Methods 68 cases of single dose dispensing errors caused by the automatic tablet dispensing machine in the inpatients pharmacy of the hospital from De-cember 2011 to November 2013 were retrospectively analyzed and classified according to the factors aiming at the errors caused by the automatic tablet dispensing machine. The SHEL pattern was adopted to evaluate the causes of the drug dispensing errors and the related improvement measures were proposed. Results By analyzing the factors causing the dispensing errors of the automatic tablet dispensing machine by the SHEL pattern and after improvement, the error occurrence rate of the drug dispensing in the inpatients pharmacy was reduced by 78. 57% (χ2=8. 526,P=0. 036 ) . The drug safety management was increased. Conclusion Adopting the SHEL pattern can determine the defects of the automatic tablet dispensing machine in the drug safety management, find out the solution scheme and in-crease the pharmacy automatic management level.
