Seidel A M, Woller T W, Somani S, Abramowitz P W
Department of Pharmacy, University of North Carolina Hospitals, Chapel Hill 27514.
Am J Hosp Pharm. 1991 Feb;48(2):270-5.
Pharmacist and technician times required for the preparation of parenteral nutrient (PN) solutions were studied before and after the introduction of a software package that is used with an automated compounder. At a 580-bed teaching hospital, work sampling was used to collect data on how time was spent by personnel in the i.v. admixture pharmacy during six-week periods before and after the introduction of software that calculates the quantities of PN solution ingredients on a computer-generated work sheet and prints labels. The second data-collection period began when the software had been in use for four months. In the second study period, there was a significant decrease (28%) in total pharmacist time spent per PN solution; the mean +/- S.D. pharmacist times per PN solution per day for the two study periods were 14.03 +/- 3.24 minutes and 10.12 +/- 1.61 minutes, respectively. There were also significant decreases in pharmacist time spent performing calculations, checking calculations, and typing labels. After introduction of the software, technicians spent significantly less time typing labels and pumping base solutions. Overall, technicians spent significantly less time per PN solution in the second study period (20.15 +/- 3.50 versus 17.82 +/- 1.94 minutes). Use of the software allowed pharmacist staffing in the i.v. admixture pharmacy to be reduced, and the pharmacy resources were reallocated toward the provision of clinical services. The generation of PN labels and calculation worksheets by computer software reduced pharmacist and technician time requirements for PN solution preparation.
在引入与自动配药器配套使用的软件包之前和之后，对制备肠外营养（PN）溶液所需的药剂师和技术人员时间进行了研究。在一家拥有580张床位的教学医院，采用工作抽样法收集数据，以了解在引入能在计算机生成的工作表上计算PN溶液成分数量并打印标签的软件之前和之后的六周内，静脉药物配置中心人员的时间分配情况。第二个数据收集期始于该软件投入使用四个月后。在第二个研究期内，制备每份PN溶液所花费的药剂师总时间显著减少（28%）；两个研究期内，每天制备每份PN溶液的药剂师平均时间±标准差分别为14.03±3.24分钟和10.12±1.61分钟。药剂师在进行计算、核对计算和打字贴标签方面所花费的时间也显著减少。引入该软件后，技术人员在打字贴标签和抽取基础溶液方面花费的时间显著减少。总体而言，在第二个研究期内，制备每份PN溶液技术人员花费的时间显著减少（分别为20.15±3.50分钟和17.82±1.94分钟）。该软件的使用使得静脉药物配置中心的药剂师人员配备得以减少，药房资源得以重新分配用于提供临床服务。计算机软件生成PN标签和计算工作表减少了制备PN溶液所需的药剂师和技术人员时间。
