1.Construction and Application of Intelligent Central Pharmacy Management Mode in Our Hospital
Wei WANG ; Guorong SHEN ; Yong WANG ; Jian’an BAO
China Pharmacy 2020;31(23):2909-2913
OBJECTIVE:To provide refe rence for inte lligent managemen t of central pharmacy. METHODS :The construction experience of intelligent central pharmacy management mode were introduced ,including the use of information technology ,the introduction of automation equipment ,the rational layout of the central pharmacy ,as well as the optimization of work flow ,and the establishment of integrated management mode ,etc. The workload of intelligent central pharmacy in our hospital before construction(2016),during construction (2017-2018)and after operation (2019)were collected from our hospital information system(HIS),including the number of injection doctor ’s orders ,the number of doctor ’s orders reviewed ,the number of PIVAS deployment,the number of oral medical orders ,the number of medical orders discharged with medicine ,etc. The pharmacist scheduling before and after the operation of intelligent central pharmacy in our hospital was counted. The average daily quantity of injection prescription ,average dispensing speed ,timely delivery rate and dispensing errors were calculated. In addition ,the satisfaction of medical staff in 39 wards of our hospital were investigated every quarter to evaluate the implementation effect of intelligent central pharmacy management model. RESULTS :From 2016 to 2019,the workload of the central pharmacy in our hospital showed an overall upward trend ,and the average daily prescription amount increased year by year ,and the average daily prescription amount in 2017-2019 was significantly more than that in 2016(P<0.05). Average dispensing speed ,timely delivery rate and dispensing errors of central pharmacy during 2018-2019 were significantly lower than 2016(P<0.05). The daily number of pharmacists in dispensing posts in the central pharmacy was reduced from 22 in 2016 to 18 in 2019,with 4 pharmacists saved. During the 4 years,867 questionnaires were distributed and 862 valid questionnaires were recovered. The effective recovery rate was above 99%. The average satisfaction of medical staff in the ward to the central pharmacy was high relatively ,being 96.8%, 98.4% ,99.1% and 99.1% respectively from 2016 to 2019. CONCLUSIONS :The integrated intelligent center pharmacy management mode established in our hospital has realized the information and automatic management of inpatient medication order dispensing;reasonable arrangement of the work contents of professional and technical personnel with different professional titles can not only save the labor cost ,but also increase the content 09304021) of pharmaceutical care ,broaden the work depth ,so as to improve the work efficiency and ensure the quality of 126.com pharmaceutical care.
2.Preliminary Study on Effects of Solamargine on the Growth and Apoptosis of Human Hepatocarcinoma Cells HepG 2 and Its Mechanism
Jingjing WU ; Wenjuan ZHANG ; Junhong ZHANG ; Yating ZHANG ; Li LI ; Yue LU ; Jian’an WEI ; Ling HAN
China Pharmacy 2021;32(24):2963-2969
OBJECTIVE:To ex plore the effects of solamargine on the growth and apoptosis of human hepatocarcinoma cells HepG2 and its underlying mechanism. METHODS :The effects of 0(blank group )-12 μmol/L solamargine treatment of 24,48 h on survival rate of HepG 2 cells were investigated. The effects of 0(blank group ),6 μmol/L solamargine treatment of 10 days on cell clone formation were also investigated. The effects of 0(blank group ),4,6,8 μmol/L solamargine for 24 h on the apoptotic rate of cells,mRNA expression of Bcl- 2,Bax and caspase- 3, protein expression of Bcl- 2 and cleaved caspase- 3 as well as ratio of p-AMPKα to AMPKα were all tested. The effects of AMPK inhibitor as compound C on the protein expression of AMPKα and Bcl- 2 in cells were investigated after treated with 6 μmol/L solamargine for 24 h. RESULTS :Compared with 020-39318678。E-mail:wujingjing6028@gzucm.edu.cn blank group ,1-12 μ mol/L solamargine for 24,48 h could significantly decrease the survival rates of cells (P<0.05)in a concentration-dependent manner ;IC50 of them were 8.310 and 7.996 μmol/L,respectively;the rate of cell clone formation was decreased significantly after treated with 6 μmol/L solamargine for 10 days(P<0.05). The apoptotic rate of HepG 2 cells,mRNA expression of Bax and caspase- 3,protein expression of cleaved caspase-3(except for 8 μmol/L)as well as ratio of p-AMPKα to AMPKα(except for 8 μmol/L)were all increased significantly after treated with 6,8 μmol/L solamargine(P<0.05);mRNA and protein expression of Bcl- 2 were decreased significantly (P< 0.05);the changes of some indexes were in a concentration-dependent manner. The compound C could inhibit protein expression of AMPKα,and reverse the inhibitory effect of solamargine on Bcl- 2 protein. CONCLUSIONS :Solamargine can inhibit the proliferation of HepG 2 cells and induce apoptosis ,the mechanism of which may be associated with activating AMPK signaling pathway.