配药机器人在静脉用药调配中心的应用

Application of Dispensing Robot in Pharmacy Intravenous Admixture Services

关键词:  配药机器人  静脉用药调配中心  人工调配

Key words:  dispensing robot  pharmacy intravenous admixture services  artificial dispensing

摘要:

目的 探讨配药机器人在静脉用药调配中心的应用。方法 将配药机器人调配药品以及人工调配药品的效率、残留量、推拉针筒次数、手部意外刺伤发生率、调配药品的准确率进行对比观察。结果 配药机器人调配卡络磺钠、注射用头孢唑肟钠、复合辅酶、头孢硫脒4种药品，残留量分别为0.13±0.01，0.14±0.01、0.12±0.01、0.14±0.01，均低于内控标准（≤溶媒体积的5%）；配药机器人能够减少手部推拉针筒的次数；在观察的时间内，人工调配发生手部意外刺伤6次，而配药机器人未发生，人工调配共发生60次差错，而配药机器人仅发生4次。随着调配时间的延长，第3小时内机器的调配效率高于人工；1 h内，1名工作人员同时操作2台配药机器人的工作效率高于人工调配。结论 配药机器人能显著降低工作人员的劳动强度及职业伤害，提高调配的准确率及效率，在静脉用药调配中心有一定的应用前景。

Abstract:

OBJECTIVE To investigate the application of configuration robot in pharmacy intravenous admixture services. METHODS Comparison of the efficiency, residue, times of push-pull syringes, incidence of accidental stabbing in the hands, and accuracy of the deployment between the configuration robot and the manual dispensing of the drug. RESULTS The configuration robot was equipped with four kinds of drugs:carbazochrome sodium sulfonate, ceftizoxime sodium for injection, coenzyme complex and cefathiamidine. The residual amounts were 0.13±0.01, 0.14±0.01, 0.12±0.01, 0.14±0.01, respectively, which were lower than the internal control standard(≤ 5% of the dissolved media product). The intravenous drug configuration robot could reduce the times of the hand push-pull syringes. During the observation period, manual accidental stab wounds occurred 6 times, but the configuration robot did not occur, manual deployment occurred a total of 60 errors, while the dispensing robot only 4 times. With the extension of the deployment time, the machine deployment efficiency was higher than the manual in the third hour, and in one hour, the efficiency of one staff member operating two dispensing robots at the same time was higher than the manual deployment. CONCLUSION The configuration robot can significantly reduce the labor intensity and occupational injuries of the staff, improve the accuracy and efficiency of the deployment, and has certain application prospects in pharmacy intravenous admixture services.