Practice of optimization of inpatient injection dispensing process based on barcode system in a women's and children's hospital
Objective To explore the practical effect of inpatient injection dispensing process optimization based on barcode system in an inpatient pharmacy in a hospital.Methods The data on the dispensing error rate(non departure error or error discovered by ward review),departure error rate,daily average number of dispensing personnel,and total working hours of personnel from June to December 2020(traditional dispensing list with manual dispensing),January to June 2021[personal digital assistant(PDA)scanning and delisting],and July 2021 to June 2022(centralized dispensing mode of drug dispensing process)was collected,and the effectiveness of the inpatient injection dispensing process based on the barcode system of inpatient pharmacy was analyzed.Results After optimizing the process,the dispensing time was shortened,the dispensing efficiency was improved,the accuracy of the dispensing variety and quantity was ensured,and the error rate was greatly reduced.After optimization,the in-dispensing error rate was reduced from 0.100%to 0.016%.The total daily dispensing time was reduced from 11.0 h to 5.5 h after optimization.The average dispensing time of departments was shortened from 18.33 min to 9.17 min after optimization,and the overall dispensing efficiency of inpatient pharmacy was improved.In January 2021,the inpatient injection dispensing began to use PDA scanning code and delisting,and the variety error was greatly reduced;in July 2021,the new dispensing process was activated,and variety errors and quantity errors were further reduced significantly.After optimization,the internal difference decreased from 0.109%to 0.016%compared with the same period before optimization,the daily deployment time decreased to 5.5 h compared with 11h before optimization,and the average time spent in departments decreased to 9.17 min compared with 18.33min before optimization.Conclusion After optimizing the process of inpatient injection dispensing based on barcode system,the traditional drug dispensing mode is changed,the efficiency and accuracy of drug dispensing are improved,human resources are optimized,and employee happiness index and satisfaction are improved.
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