近年來，由於醫療疏失事件造成的傷害與死亡，使得「病人安全」話題愈受討論與重視，醫院不斷思考研究藉著科技技術之導入，來營造更安全且值得信賴的給藥方式，本報告旨在說明基於病人用藥安全之加強下，有關條碼核藥系統之設計與應用。
本研究將條碼技術導入單一劑量給藥系統 ，結合藥品自動配方系統，配合無線網路傳輸醫師處方，便於藥師調劑與核對處方，也提供護理人員給藥時，核對藥名、劑型、劑量、服藥時間等。整個系統設計區為分硬體與軟體二部分，硬體建置階段為：藥品自動配方機體內控制系統晶片更換與修正、無線網路架設、平板電腦購置、行動護理車購置、掃瞄器購置等。軟體區分為三大部分：一、微軟Sql資料庫；二、網路伺服器；三、使用端。終端使用者弁鄐S可區分為三部分，分別是：1、藥師調劑 2、護理人員給藥3、電腦通報。
本研究發現護理人員對於利用條碼技術於給藥系統之「處方更新方式」與「給藥方式」持正面評價。條碼技術於用藥檢核系統之實施，是能有效預防人為用藥疏失並確保以「病人安全」為中心的照護品質。 More attention had been placed on “patient’s medication safety” in the past few years because of unexpected medication error events causing death or serious physical or psychological injury. This research proposed a bar code administration system that would meet the goals of improving patient medication safety.
Introducing bar code technology in the Unit Dose Distribution System, with Automated Medication Dispensing Systems and Computerized Physician Order Entry, it is convenient for the pharmacists to dispense and checkup, and also serves as a valuable tool to check drug names, dosage forms, doses, timing, appearance and even the name of patients for nursing staffs during medication administration. The whole system design divides into the hardware and the software, the hardware-building stages including replacement and revision of the control system chip in the Automated Medication Dispensing system, building the wireless network, setting the tablet PC, the mobile nursing station and the bar code reader. System software including three parts: MS-Windows Sql Server, Web Server and User terminal. The functions of user terminal consist of three parts: Pharmacist Dispensing, Nurse Administering and Data Reporting.
The research found that the nursing staff evaluated positively the “prescription change” and “drug administration” of bar code medication administration system. Implementation of the “bar code-checking system” in hospital pharmacies can be effective in medication errors interception and ensuring patient medication safety.
