前置智能化精准加药及核对系统在全自动单剂量分包中的应用

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中图分类号R952 文献标志码A 文章编号 1001-0408（2025）17-2170-06

DI 10.6039/j.issn.1001-0408.2025.17.15

Application a pre-intelligent precision dosing and verification system in automatic single-dose packaging ZHANG zan’，LU Junyu²，HNG Lei'，LI Liucheng1，YING Jiel（1. 2. utpatient，Sir Hospital， School Medicine， Zhejiang 31016，China）

ABSTRACTBJECTIVEToinovativelyapplythepre-inteligentprecisiondosingandverificationsystem（hereinafterreferred toas“thesystem"），andtoprovideareferenceforthehigh-level“nteligent”transformation inpatientpharmacy.METHDS Thelimitationsthe triple-serial dispensing mode，whichcomprised theautomaticmedicinepackagingmachine（ATC）， intellgenttabletdispensingtable（ITDT）andmedicationdetectionmachine（MDM），wereanalyzed.Theapplicationthesystem andtheadoptionthebarcodescanningverification methodoptimized thepre-dosing management，whole-tabletdrugdispensing process andATCtemporary dosing management.The comparativeanalysis wasconducted toassssdosing time，laborcostand packaging error theeight-month period，beforeandafterthesystemapplication.RESULTSThetriple-serial dispensingmode hadaweakabilitytoavoiderrorrisksinthemanualdosingstage，andalsohaderrorsintheverficationstage.Throughthe inovativeapplicationsystem，thepre-dosing management hadbeen upgraded，thewole-tablet drugdispensing process hadben optimized，andtheATCtemporarydosing managementhadbeenimproved.Theaverage timerequiredforeachdrug forpre-dosing， whole-tablet drug dispensingandATCtemporarydosingwas significantlyshortenedaftertheaplication thesystem，compared with before the application the system （ P<0.001 ）.The number pharmacists was reduced from two to one. The error rate ATC decreased significantly from 0.220‰ to 0.029‰ （ P<0.001 ）.Specifically，the rate pharmacist-related errors （pre-dosing error，ITDT dosing error，and ATC temporary dosing error） decreased from 0.116%o to 0.001‰ 0 P<0.001 ），and machine-related errors decreased from 0.096%o to 0.023‰ ？ P<0.001 ）. CNCLUSINS This innovative integration mode greatly improves the workingeficiencyandquality inpatientpharmacy.Itenhancesrefinedmanagementdrugexpirationandinventory，savestimeand labor costs，improves the accuracy drug dispensing， and ensurespatient medication safety.

KEYWRDS inpatient pharmacy； pre-intelligent dosing; precisiondosing；systematic verification

近年来，为积极响应国家政策并顺应现代化医院发展的潮流，我国医院药房正加速向“智慧药房”转型，并深化“数字化 ⋅+ 药学服务"的融合创新[-3]。（剩余8718字）