背景:这项研究的主要目的是描述用于追踪药学部门复合制剂的移动应用程序(App)的设计和实现。次要目标包括评估解决与实施前后的准备工作分配有关的事件所花费的时间,评估用户对应用程序的满意度,并根据从App中提取的数据建立质量指标面板。
方法:定义应用程序要求,确定要包含在软件中的药物,并概述不同的工作流程。与供应商合作开发应用程序,并将其与处方和验证中涉及的计算机程序集成。此外,创建QR码以识别目的地单位的交付点,并获得了合适的移动设备。初始阶段涉及应用程序中的用户培训和在医院病房中进行的试点测试。随后的阶段集中在扩张和整合上。
结果:该系统包括医院药房准备的所有无菌制剂的86.9%,包括化疗,成人肠外营养,和其他无危险的无菌制剂。此外,该应用程序已在所有住院病房中实施,日托单位和两个外部站点。平均而言,每月跟踪5,403种制剂(SD=297.3)。处理与分发制剂有关的事件所需的时间减少了83%(从每天38.9分钟减少到6.6分钟)。该应用程序定期提供有价值的管理数据,用于优化复合区域的工作流程。此外,用户对应用程序表示满意。
结论:拟议的应用程序使医院工作人员能够轻松直观地跟踪药房中复合的制剂,不管用于处方的计算机程序。它大大减少了人工保存记录的需要,并减少了与分发无菌制剂有关的事件。
The primary objective of this study is to describe the design and implementation of a mobile application (App) for tracking preparations compounded in the Pharmacy Department. Secondary objectives include evaluating the time spent on resolving incidents related to the distribution of preparations before and after implementation, assessing users satisfaction with the application, and establishing a panel of quality indicators based on the data extracted from the App.
Defining application requirements, identifying drugs to be included in the software and outlining different workflows. Developing the App in collaboration with the supplier and integrating it with the computer programs involved in prescription and validation. Additionally, QR codes were created to identify delivery points at destination units, and suitable mobile devices were acquired. The initial phase involved user training in the application and a pilot test conducted in a hospital ward. The subsequent phase focused on expansion and consolidation.
The system includes 86.9% of all sterile preparations prepared in the Hospital Pharmacy, encompassing chemotherapy, adult parenteral nutrition, and other non-hazardous sterile preparations. Furthermore, the application has been implemented in all hospitalization wards, day care units and two external sites. On average, 5,403 preparations were tracked per month (SD = 297.3). The time required to address incidents related to the distribution of preparations has decreased by 83% (from 38.9 to 6.6 minutes per day). The App regularly provides valuable management data for optimizing workflow in the compounding area. Additionally, users have expressed satisfaction with the application.
The proposed application enables hospital staff to easily and intuitively track preparations compounded in the pharmacy, irrespective of the computer program used for prescription. It has significantly reduced the need for manual record-keeping and has mitigated incidents associated with the distribution of sterile preparations.