Abstract: The continuous expansion of community vaccine varieties has resulted in greater risks due to the lack of vaccination personnel，limited space，and failure of the cold chain，etc.，thus threatening safe vaccination.With the aid of the interconnection and interoperability functions of the network information system and the intelligent computer system，an intelligent vaccine cabinet was developed to resolve the above-mentioned vaccination risks to fine-tune the vaccination process，assist nurses in ensuring vaccination safety and improve work efficiency.From July 2016 to June 2017，after the use of intelligent vaccine cabinets，1 721 more doses were inoculated compared with the previous year，the inoculation time was reduced by 4 h per day，the number of daily vaccinations by three nurses increased by 189%，and no adverse events occurred.Following use of the intelligent vaccine cabinet，the inoculation volume fluctuated between 32 and 35 doses on inoculation peak days，which was relatively balanced，and when using traditional refrigerators，the inoculation volume fluctuated between 2 and 53 doses，and the workload of the nurses at each time period was unbalanced.As a result，the use of intelligent vaccine cabinets and improvement of vaccination procedures can ensure vaccination safety，reduce manpower input，improve work efficiency，and reduce nurses' workload related to vaccination.

Key words: Vaccination, Intelligent vaccination cabinet, Community health services

摘要： 随着社区疫苗接种种类不断增加，现有的接种人员不足、场地有限、冷链失效等众多风险有碍于安全接种。本研究借助网络信息系统的互联互通功能和计算机的智能作用，针对上述接种风险研发出智能疫苗柜，并改善疫苗接种流程，协助护士实施安全接种，提高工作效率。2016年7月—2017年6月采用智能疫苗柜后，比上年多接种1 721剂次，每日减少4 h接种时间，3名护士日接种数量增加189%，无一例不安全接种事件发生。使用智能疫苗柜后，接种高峰日各时间段接种量波动在32~35剂次，相对均衡；而使用传统冰箱期间，接种量波动在2~53剂次，各时间段护士工作量不均衡。采用智能疫苗柜并改善疫苗接种流程，可保障接种安全，减少人力投入，提高工作效率，减轻护士接种压力。

关键词: 接种, 智能疫苗柜, 社区卫生服务