某地區醫院建置條碼給藥系統之成效

The Effectiveness of Implementing Barcode Medication Administration System in a Local Hospital

從1970年代開始，醫療機構便開始嘗試應用條碼科技，而現今臨床上用於病人辨識、檢體核對、輸血核對、給藥確認等，藉由條碼可雙重核對的特性，以促進病人安全。因此，我們研擬出一套條碼給藥系統，以提升藥品調劑正確率。當病人前來領藥時，藥師會刷處方箋條碼開啟多功能資訊，基本功能包含：記錄發藥藥師姓名、記錄病人何時領藥、警示病人是否重複領藥、呈現診斷、用藥理由、過敏紀錄。而進階功能包含：病人未批價警示、藥品問題諮詢登錄、疑義處方即時登錄、交互作用查詢、個案病人警示、特殊藥品警示、管制藥品名單查詢、流感登錄。針對門急診病人領藥，以多工輔助的程式介面訊息協助藥師進行全方位藥品審視與訊息提醒，並有多面向統計功能，期許能提升藥事服務品質。

Since 1970, medical institutions began to try barcode technology. Barcode technology is currently used in patient identification, laboratory specimen identification, blood transfusion and medication administration verification applications. Barcoding has also been employed to provide critical double checks for patient safety. Therefore we proposed a barcode medication administration system, to increase accuracy of pharmacy medicine dispensing. When the patient receives the drug, the pharmacist will swipe the barcode to open the multifunctional information. The basic functions: record the name of the dispensing pharmacist, record the time of the drug was given, whether the patient will take drugs repeatedly, show the diagnosis and reasons for using the drug, and the allergy record. Further functions: unpaid reminders, records of drug consultations, records of problem prescriptions, queries for drug interactions, tips for individual patients, tips for special drugs, lists of controlled drugs, and influenza vaccine records. Prescriptions for outpatients and emergency patients, message assist pharmacists to examine the full range of medicines and message reminders. And a number of functions for statistics. Hopes to enhance the quality of pharmaceutical services.