Application of a pre-intelligent precision dosing and verification system in automatic single-dose packaging
- VernacularTitle:前置智能化精准加药及核对系统在全自动单剂量分包中的应用
- Author:
Runzan ZHANG
1
;
Junyu LU
2
;
Lei HONG
1
;
Liucheng LI
1
;
Jie YING
1
Author Information
1. Dept. of Pharmacy，Sir Run Run Shaw Hospital，School of Medicine，Zhejiang University，Hangzhou 310016，China
2. Dept. of Outpatient，Sir Run Run Shaw Hospital，School of Medicine，Zhejiang University，Hangzhou 310016，China
- Publication Type:Journal Article
- Keywords:
inpatient pharmacy;
pre-intelligent dosing
- From:
China Pharmacy
2025;36(17):2170-2175
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To innovatively apply the pre-intelligent precision dosing and verification system （hereinafter referred to as “the system”）， and to provide a reference for the high-level “intelligent” transformation of inpatient pharmacy. METHODS The limitations of the triple-serial dispensing mode， which comprised the automatic medicine packaging machine （ATC）， intelligent tablet dispensing table （ITDT） and medication detection machine （MDM）， were analyzed. The application of the system and the adoption of the barcode scanning verification method optimized the pre-dosing management， whole-tablet drug dispensing process and ATC temporary dosing management. The comparative analysis was conducted to assess dosing time， labor cost and packaging error of the eight-month period， before and after the system application. RESULTS The triple-serial dispensing mode had a weak ability to avoid error risks in the manual dosing stage， and also had errors in the verification stage. Through the innovative application system， the pre-dosing management had been upgraded， the whole-tablet drug dispensing process had been optimized， and the ATC temporary dosing management had been improved. The average time required for each drug for pre-dosing， whole-tablet drug dispensing and ATC temporary dosing was significantly shortened after the application of the system， compared with before the application of the system （P＜0.001）. The number of pharmacists was reduced from two to one. The error rate of ATC decreased significantly from 0.220‰ to 0.029‰ （P＜0.001）. Specifically， the rate of pharmacist-related errors （pre-dosing error， ITDT dosing error， and ATC temporary dosing error） decreased from 0.116‰ to 0.001‰ （P＜0.001）， and machine-related errors decreased from 0.096‰ to 0.023‰ （P＜0.001）. CONCLUSIONS This innovative integration mode greatly improves the working efficiency and quality of inpatient pharmacy. It enhances refined management of drug expiration and inventory， saves time and labor costs， improves the accuracy of drug dispensing， and ensures patient medication safety.
