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目的研究自动包药机剂量调剂模式的实施情况,提供增加包药量,减少人员配置的建议,为包药机的合理使用提供借鉴。方法包括管理制度、调剂强度、调剂精准度等方面对比研究人工调剂与自动包药机的差异,收集调试前、后差错率,人工调剂与包药机差错率的数据,并进行统计学分析。结果在机器故障、医嘱错误、网络原因错误、人工加药错误等方面调剂后明显比试运营阶段效果好,数据比较差异明显,具有统计学意义(P<0.05)。在调剂强度和调剂精准度包含的人员配置、日包药量、日工作时间、差错概率等自动包药机效果明显好于人工调剂,数据比较差异明显,具有统计学意义(P<0.05)。结论与人工调剂相比包药机日包药量大、差错率低,可明显提高药品调剂的工作效率,还可避免人工调剂易出现的交叉感染等不良后果,值得临床推广。
Objective To study the implementation of dose adjustment mode of automatic packet medicine machine and to provide suggestion of increasing dose and reducing staffing, so as to provide reference for rational use of drug delivery machine. The methods include the comparison of the manual adjustment and the auto-package medicine machine in terms of the management system, the strength of the adjustment and the precision of the adjustment, and the data of the error rate before and after the debugging, the error rate of the manual adjustment and the medicine mixing machine are collected, and the statistical analysis is carried out. The results of the machine failure, the doctor’s orders error, the network error, manual dosing error significantly better than the trial operation phase, the data were significantly different, with statistical significance (P <0.05). The results showed that the automatic drug delivery system included the staffing, daily dose, daily working time, error probability and so on, which were significantly better than manual adjustment in adjusting intensity and adjusting accuracy. The data showed significant difference (P <0.05). Conclusions Compared with the manual preparation, the daily dose of the medicine packer is large and the error rate is low, which can obviously improve the work efficiency of the medicine adjustment and avoid the adverse consequences such as cross-infection which is prone to manual adjustment, which is worthy of clinical promotion.