Determining the feasibility of robotic courier medication delivery in a hospital setting
Determining the feasibility of robotic courier medication delivery in a hospital setting
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DOI：
10.2146/ajhp080184
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发表时间：
2009-10-01
影响因子：
2.7
通讯作者：
Ludwig, Brad C.
中科院分区：
文献类型：
--
作者：
Kirschling, Thomas E.;Rough, Steve S.;Ludwig, Brad C.
目的。评估了机器人快递药物输送系统在医院环境中的可行性。机器人快递员是一种自动引导、自行推进的机器人，它在走廊和电梯之间穿行，将附属或集成的手推车拖到预期的目的地。机器人快递药物递送系统在一个拥有471张床位的三级医疗学术医疗中心的两个患者护理单元进行了试点测试。现有的人工药物输送系统每小时在医院范围内输送的平均转运时间为32.6分钟。其中，32.3%的人在患者护理病房花费，67.7%的人在推手推车或在电梯等待上花费。在没有障碍物的情况下，机器人快递药物递送系统的移动速度高达1.65英尺/秒(手动系统的52%)，但在研究期间的平均移动速度为0.84英尺/秒(手动系统的26%速度)，主要是由于走廊障碍。由于技术或情况的困难，在125天的试运行期间，机器人快递员使用了1750次中的50%。在发送的运行中，共有79次运行失败，总体成功率为91%。在试点的最后一个月，成功率达到了95.6%。客户对传统的人工送货系统的满意度很高。实施机器人快递药品配送系统后，顾客对药品配送的满意度下降。实施了机器人快递药物输送系统，但并未扩大到两个试点单位以外。实施的挑战包括持续教育如何正确移动机器人快递员，以及保持走廊畅通障碍。
Purpose. The feasibility of a robotic courier medication delivery system in a hospital setting was evaluated.Summary. Robotic couriers are self-guiding, self-propelling robots that navigate hallways and elevators to pull an attached or integrated cart to a desired destination. A robotic courier medication delivery system was pilot tested in two patient care units at a 471-bed tertiary care academic medical center. Average transit for the existing manual medication delivery system hourly hospitalwide deliveries was 32.6 minutes. Of this, 32.3% was spent at the patient care unit and 67.7% was spent pushing the cart or waiting at an elevator. The robotic courier medication delivery system traveled as fast as 1.65 ft/sec (52% speed of the manual system) in the absence of barriers but moved at an average rate of 0.84 ft/sec (26% speed of the manual system) during the study, primarily due to hallway obstacles. The robotic courier was utilized for 50% of the possible 1750 runs during the 125-day pilot due to technical or situational difficulties. Of the runs that were sent, a total of 79 runs failed, yielding an overall 91% success rate. During the final month of the pilot, the success rate reached 95.6%. Customer satisfaction with the traditional manual delivery system was high. Customer satisfaction with deliveries declined after implementation of the robotic courier medication distribution system.Conclusion. A robotic courier medication delivery system was implemented but was not expanded beyond the two pilot units. Challenges of implementation included ongoing education on how to properly move the robotic courier and keeping the hallway clear of obstacles.