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模拟设施设计变更对门诊药房效率的影响。

Effects of simulated facility-design changes on outpatient pharmacy efficiency.

作者信息

Lin A C, Barker K N, Hassall T H, Gallelli J F

机构信息

School of Pharmacy, Auburn University, AL 36849.

出版信息

Am J Hosp Pharm. 1988 Jan;45(1):116-21.

PMID:3348223
Abstract

The potential effects of using the Baker drug counter or the Systamodule pharmacy fixture, or both, on the efficiency of the current outpatient pharmacy system at the National Institutes of Health were evaluated by computer simulation. It was hypothesized that the use of these two devices would reduce (1) the prescription-filling time (RxFT) and (2) the distance traveled (DT) by pharmacists in filling individual prescriptions. The sample used was 20% of two weeks' prescriptions, randomly selected. All theoretical estimations of RxFT were done by a computer program; DT was calculated based on measurements from the architect's schematic drawings. The effect of the application of the Baker drug counter alone, the Systamodule pharmacy fixture alone, and the Baker drug counter in combination with the Systamodule pharmacy fixture was to reduce the prescription-filling time by 0.123, 0.159, and 0.280 minutes per prescription, respectively. The average DT per prescription, 102 feet, was identical in the current NIH pharmacy and with use of the Baker counter. It was reduced by 86.3% (to 14 feet) with use of the Systamodule feature, both alone and in combination with the Baker counter. The use of the Baker drug counter and the Systamodule together promises improved efficiency of the prescription dispensing operation.

摘要

通过计算机模拟评估了使用贝克药品柜台或系统模块药房固定装置,或两者同时使用,对美国国立卫生研究院当前门诊药房系统效率的潜在影响。假设使用这两种设备将减少:(1)配药时间(RxFT);(2)药剂师在配药时行走的距离(DT)。所使用的样本是随机抽取的两周处方的20%。RxFT的所有理论估计均由计算机程序完成;DT是根据建筑师示意图中的测量数据计算得出的。单独使用贝克药品柜台、单独使用系统模块药房固定装置以及贝克药品柜台与系统模块药房固定装置组合使用的效果分别是每张处方的配药时间减少0.123分钟、0.159分钟和0.280分钟。在国立卫生研究院当前的药房以及使用贝克柜台的情况下,每张处方的平均DT为102英尺。单独使用系统模块功能以及与贝克柜台组合使用时,DT减少了86.3%(降至14英尺)。同时使用贝克药品柜台和系统模块有望提高处方调配操作的效率。

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