Tsubaki T, Orii T, Sugiura M
Hospital Pharmacy, Faculty of Medicine, University of Tokyo.
Jpn Hosp. 1990 Jul;9:61-7.
(1) A medication order entry system, (2) a fully automatic tablet counting and packaging machine connected with a medication order entry system, and (3) a check system for one dose package developed and implemented in the University of Tokyo Hospital are described. The principal objectives of these systems are (1) to reduce medication errors and the clerical workload of staff, (2) to make more efficient use of staff, (3) to provide staff with sufficient drug information for patient drug therapy. We compared computerized systems (post-computerization) and traditional multi-dose dispensing systems (pre-computerization) by analyzing inquiry rate and dispensing time in the pharmacy for inpatients. Inquiry rate was 23.0% and 2.6% for pre-computerization and post-computerization, respectively. Total dispensing time per patient was 207 seconds and 147 seconds for pre-computerization and post-computerization, respectively. Implementation of the computerized systems helped significantly in decreasing inquiry rate and time needed to complete the dispensing process when compared with a traditional dispensing system. Implementation of the computerized systems was very useful for physicians, pharmacists, and nurses in conducting drug therapy.
介绍了东京大学医院开发并实施的（1）医嘱录入系统、（2）与医嘱录入系统相连的全自动片剂计数及包装机，以及（3）单剂量包装检查系统。这些系统的主要目标是：（1）减少用药错误和工作人员的文书工作量；（2）更高效地利用工作人员；（3）为工作人员提供足够的患者药物治疗用药信息。我们通过分析住院患者药房的查询率和配药时间，对计算机化系统（计算机化后）和传统多剂量配药系统（计算机化前）进行了比较。计算机化前和计算机化后的查询率分别为23.0%和2.6%。每位患者的总配药时间，计算机化前和计算机化后分别为207秒和147秒。与传统配药系统相比，计算机化系统的实施在显著降低查询率和完成配药过程所需时间方面有帮助。计算机化系统的实施对医生、药剂师和护士进行药物治疗非常有用。
