Moss R L, Pounders J N
Am J Hosp Pharm. 1985 Feb;42(2):309-12.
The effect of computerization on dispensing time in a hospital-affiliated ambulatory-care pharmacy was studied. Personnel time requirements for dispensing medications were measured by hospital systems-development personnel three months before and six months after implementation of computer-assisted dispensing. Times required for completion of all activities associated with dispensing new and refill medications were recorded. A varying number of random samples for each activity were timed on several different days in each dispensing system. The time recorded for each activity reflected time for completion of that activity for all of a patient's prescriptions. Based on mean times for each activity, prescription processing time per patient (average of 1.5 prescriptions) was 7.0 minutes for both new and refill prescriptions using manual dispensing, 6.28 minutes for new prescriptions using computer-assisted dispensing, and 4.61 minutes for refill prescriptions using computer-assisted dispensing. Computerization eliminated 78 minutes of time spent on miscellaneous activities each day and added 58.67 minutes of time for computer-related activities each day. A net time savings of 196.58 minutes was realized for a prescription volume of 176 prescriptions per day. Although implementation of computer-assisted dispensing involved economic costs and procedural changes, it increased the efficiency of this outpatient pharmacy operation.
研究了计算机化对一家附属医院门诊药房配药时间的影响。在实施计算机辅助配药前三个月和实施后六个月，由医院系统开发人员测量配药所需的人员时间。记录了完成与配发新处方和续方相关的所有活动所需的时间。在每个配药系统的不同日子里，对每个活动进行了不同数量的随机抽样计时。记录的每项活动时间反映了为患者所有处方完成该活动的时间。根据每项活动的平均时间，使用手工配药时，每位患者（平均1.5张处方）的处方处理时间为7.0分钟，使用计算机辅助配药时，新处方为6.28分钟，续方为4.61分钟。计算机化每天消除了78分钟花在杂项活动上的时间，每天增加了58.67分钟用于与计算机相关的活动。对于每天176张处方的处方量，实现了净节省时间196.58分钟。虽然实施计算机辅助配药涉及经济成本和程序变化，但它提高了这家门诊药房的运营效率。
