Bermejo Vicedo T, Pérez Menéndez Conde C, Alvarez Ana, Codina Carlos, Delgado Olga, Herranz Ana, Hidalgo Correas Francisco, Martín Isabel, Martínez Julio, Luis Poveda José, Queralt Gorgas María, Sanjurjo Sáez María
Servicio de Farmacia, Grupo TECNO, Hospital Ramón y Cajal, Madrid.
Farm Hosp. 2007 Jan-Feb;31(1):17-22. doi: 10.1016/s1130-6343(07)75706-9.
To describe the degree of introduction of new technologies in the medication use process in pharmacy services in Spain.
A descriptive study via a survey into the degree of introduction of computer systems for: management, computerized physician order entry (CPOE), automated unit dose drug dispensing, preparation of parenteral nutrition solutions, recording drug administration, pharmaceutical care and foreseen improvements. The survey was sent by electronic mail to the heads of the pharmacy services of 207 hospitals throughout Spain.
Response index: 82 hospitals (38.6%). 29 hospitals (36.7%) have a modular management system, 24 (30.4%) an integrated one and 34 (44.9%) a modular-integrated one. CPOE is utilised in 17 (22.4%). According to the size of the hospital, between 17.9 and 26.7% of unit dose dispensing is done online with a management software; between 5.1 and 33.3% of unit dose dispensing is automated. Automation of unit dose dispensing centred in the pharmacy service varies between 10 and 33.3%. Between 13.2 and 35.7% of automated in-ward dispensing systems are utilised. Administration records are kept manually on a computerised sheet at 23 (31.5%) of the hospitals; at 4 (5.4%) on CPOE and 7 (9.5%) online on the integral management programme and 4 (5.4%) on specific nursing softwares. Sixty-three per cent foresee the implementation of improvements in the short to medium term.
The introduction of new technologies is being developed in Spain aiming to improve the safety and management of drugs, and there is a trend towards increasing their deployment in the near future. It is hoped that their fomentation could help to bring about process reengineering within pharmacy services in order to increase the time available for devotion to pharmaceutical care.
描述西班牙药学服务中药物使用过程新技术的引入程度。
通过一项调查进行描述性研究，调查计算机系统在以下方面的引入程度：管理、计算机化医嘱录入（CPOE）、单剂量药品自动调配、肠外营养溶液配制、用药记录、药学服务及预期改进。该调查问卷通过电子邮件发送给西班牙207家医院的药学服务负责人。
回复率：82家医院（38.6%）。29家医院（36.7%）拥有模块化管理系统，24家（30.4%）拥有集成式管理系统，34家（44.9%）拥有模块化 - 集成式管理系统。17家医院（22.4%）使用CPOE。根据医院规模，17.9%至26.7%的单剂量调配通过管理软件在线完成；5.1%至33.3%的单剂量调配实现自动化。以药学服务为中心的单剂量调配自动化程度在10%至33.3%之间。13.2%至35.7%的医院使用自动病房调配系统。23家医院（31.5%）通过计算机化表格手动记录用药情况；4家医院（5.4%）通过CPOE记录，7家医院（9.5%）通过综合管理程序在线记录，4家医院（5.4%）通过特定护理软件记录。63%的医院预计在短期至中期实施改进措施。
西班牙正在推进新技术的引入，旨在提高药物安全性和管理水平，并且在不久的将来有增加其应用的趋势。希望对新技术的推动有助于在药学服务中实现流程再造，以便增加用于药学服务的时间。
