Lomonte P J, Besser R A, Thomas E C
Am J Hosp Pharm. 1983 Jun;40(6):979-81.
The medication order turnaround times of two drug-distribution systems in the same hospital using either centralized or decentralized computer order entry were compared. A decentralized medication order entry satellite pharmacy equipped with a pharmacy computer terminal and a small supply of medications typically requested to be administered without delay was implemented on one floor of a 518-bed hospital. Pharmacist-verified medication orders for five of the hospital's 22 nursing units were entered into the satellite computer terminal and transmitted to the central pharmacy for processing. Initial doses of medication dispensed from the satellite's drug supply were noted in the central pharmacy. Pharmacy personnel recorded time they spent in various steps of the medication delivery cycle for routine medication orders handled by the decentralized pharmacy. The same measurements were made for the centralized pharmacy system before implementation of the pharmacy satellite. The mean turnaround time for routine medication orders in the decentralized system was 79.5 minutes, which was 52% less than that of the centralized system (167.3 minutes). Decentralized computer order entry appears to be an effective way of decreasing turnaround time for routine medication orders.
对同一家医院中使用集中式或分散式计算机医嘱录入的两种药品分发系统的医嘱周转时间进行了比较。在一家拥有518张床位的医院的一层实施了一个配备药房计算机终端和少量通常要求立即给药的药品供应的分散式医嘱录入卫星药房。该医院22个护理单元中的5个单元的药师审核后的医嘱被录入卫星计算机终端，并传输到中央药房进行处理。从卫星药品供应中分发的首剂药物在中央药房进行记录。药房工作人员记录了他们在分散式药房处理常规医嘱的药品交付周期各个步骤中所花费的时间。在药房卫星实施之前，对中央药房系统进行了同样的测量。分散式系统中常规医嘱的平均周转时间为79.5分钟，比集中式系统（167.3分钟）少52%。分散式计算机医嘱录入似乎是减少常规医嘱周转时间的有效方法。
