- 期刊
導入智慧藥櫃之臨床工作效益分析
Clinical Benefit Analysis of Implementing Automated Dispensing Cabinets
摘要
目的：相較於傳統藥車需藉由單一劑量（Unit Dose, UD）作業人工分配藥物及傳送，智慧藥櫃（Automated Dispensing Cabinet, ADC）的引進，對於臨床作業管理是一大變革。此研究分析ADC及UD作業，臨床護理及藥事工作流程改變的效益，以作為後續引進相關醫療資訊化建置之經驗分享。方法：本研究採非參與式觀察法，進行ADC與UD作業之護理師及藥師臨床工作流程分析，並以百分比、平均數、標準差、獨立樣本t檢定、共變項分析呈現結果。結果：ADC單位退藥時間顯著低於UD單位（p=0.005），比較臨時醫囑開立至完成給藥確認，ADC單位花費28.67秒／筆，小於UD單位46.67秒（p<0.001）。ADC單位藥師每天撥補藥物時間顯著少於UD單位（p=0.037）。結論：透過分析導入ADC臨床工作效益成果，可以提供管理者對於後續相關智能醫療設備導入評估及建置之參考。
並列摘要
Objectives: Compared with traditional medication carts that need to manually dispense and deliver medicines through Unit Dose (UD), the import of Automated Dispensing Cabinets (ADC) was a big change to the management of clinical. This study analyzes the benefits of ADC and changes in clinical nursing and pharmacy workflows, serving as an experiential sharing for the implementation of related healthcare information technology. Methods: This study adopts a non-participan observational method to analyze the clinical workflows of nurses and pharmacists in ADC and UD operations. Results are presented as percentage, mean, standard deviation, independent sample t-test and ANCOVA. Results: The time for medication returns of ADC units was significantly lower than that of UD units (p=0.005). To compare the temporary doctor's order to the completion of drug administration, the ADC unit takes 28.67 seconds per order, which is less than the UD unit 46,67 seconds (p<0.001). Pharmacists in the ADC unit spent significantly less time in the UD unit on refilling medications (p=0.037). Conclusions: It is expected that the analysis of the clinical work efficiency outcomes of introducing the ADC will provide managers with information related to the follow-up evaluation and construction of intelligent medical equipment.