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응급의료센터 자동약품분배 캐비닛시스템 운영으로 인한 야간 약국업무개선

Improvement of Night Pharmacy Service by Automated Dispensing Cabinet System Implementation in Emergency Medical Center

  • 김경희 (이화여자대학교 임상융합보건대학원) ;
  • 김선아 (이화여자대학교 목동병원 약제부) ;
  • 이정연 (이화여자대학교 임상융합보건대학원)
  • Kim, Kyung Hee (Graduate School of Converging Clinical and Public Health, Ewha Womans University) ;
  • Kim, Sun Ah (Department of Pharmacy, Ewha Womans University Mokdong Hospital) ;
  • Rhie, Sandy Jeong (Graduate School of Converging Clinical and Public Health, Ewha Womans University)
  • 투고 : 2018.01.22
  • 심사 : 2018.03.21
  • 발행 : 2018.03.02

초록

Objective: An automated process for medication preparation and dispensing is essential to improve the quality of work. To reduce night pharmacy workload, a new automated dispensing cabinet system was implemented in a hospital emergency medical center. The purpose of this study is to verify that implementation of an automated dispensing cabinet system will influence the efficiency of night pharmacy work. Methods: To evaluate the new system implementation, a retrospective study and survey was performed in the Ewha Womans University medical center. We compared the dispensing and near-miss error rates between the automated dispensing cabinet system and a night pharmacy. The degree of satisfaction of night shift workers with the new system was surveyed. Results: This study showed significantly reduced dispensing rates of night medications (56.1% and 37.3%; p < 0.01) and near-miss night medications (0.27% and 0.17%; p<0.01). Thirty-two persons responded to the survey, and the satisfaction score for the new system was 4.0 (${\pm}0.8$). The scores were high in order of efficiency, management, and convenience. Time requirement was also reduced because of the simple step of only reviewing in the pharmacy with the new system. Conclusion: Due to system implementation, workload was reduced and time was saved for not only night shift workers but also patients receiving emergency discharge medicine. It was suggested that this will have a positive effect on pharmacist medical service and patient safety.

키워드

참고문헌

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