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我院《临床合理用药智能化管理解决方案》的应用与实践
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| 篇名： | 我院《临床合理用药智能化管理解决方案》的应用与实践 |
| TITLE： | |
| 摘要： | 目的：提升门诊合理用药水平，减轻药师工作量。方法：介绍我院建立的包括事后点评（全处方点评）系统、合理用药知识库自维护系统和事前审核（合理用药实时审核）预警系统等3个系统组成的《临床合理用药智能化管理解决方案》，并对其应用效果进行评价。结果与结论：应用该套系统后，可实现高效 “全处方点评”及“多处方/跨时段联合点评”、系统知识库实时更新及审核规则自主定义、处方打印前医师与药师间借助药之道即时通讯系统进行有效的沟通及干预。经相关试验评价后发现，借助该套系统的实施，4个月后“假阳性”处方占总处方的比例降低了17.65％；门诊药师处方审核成绩评分均值由81分升至94.85分，审方时间缩短约4.72～5.46倍；通过系统对不合格处方的强制拦截、严重警示、及时提示及药师的干预，系统预审的呼吸科不合格处方率由2015年1月的32％降低至5月的21％以及12月的4.62％。因此，该套系统的实施提升了门诊合理用药水平，减轻了药师的工作量，更加全面地保证了患者的用药安全。 |
| ABSTRACT： | OBJECTIVE： To improve the level of rational drug use， and to reduce the workload of clinical pharmacists. METHODS： Established “Intelligent Management and Solution for Clinical Rational Drug Use” of our hospital was introduced， including post-prescription review （all prescriptions review） system， self-maintenance system for rational drug use knowledge base， pre-prescription review （rational drug use real-time review） early warning system. The effects of intelligent system were evaluated. RESULTS & CONCLUSIONS： After the application of the system， the following aspects could be achieved， including “all prescriptions review”， “multi-prescriptions/longitudinal review”， system knowledge base real-time update and autonomous definition of review rules， effective communication and intervention between physicians and pharmacists before printing prescription by Yaozhidao instant messaging system. Through related trial evaluation， the proportion of false positive prescriptions decreased by 17.65％ after 4 months of the application of the system； drug consultation prescriptions review average score of outpatient pharmacists increased from 81 to 94.85； the time of prescription review decreased by 4.72-5.46 times. Through mandatory interception of unqualified prescriptions， severe warning， timely prompt and pharmacists’ intervention， the rate of unqualified prescriptions pre-reviewed by the system in respiration department decreased from 32％ in Jan. 2015 and 21％ in May to 4.62％ in Dec. So， the application of the system promotes rational drug use in outpatient department， reduces the workload of pharmacists and ensures the safety of drug use comprehensively. |
| 期刊： | 2016年第27卷第25期 |
| 作者： | 朱芳芳，沈怡，廖丽娜，陶霞，陈万生，邬蓉 |
| AUTHORS： | ZHU Fangfang，SHEN Yi，LIAO Lina，TAO Xia，CHEN Wansheng，WU Rong |
| 关键字： | 事后点评系统；合理用药知识库自维护系统；事前审核预警系统；药之道即时通讯系统；处方审核；处方干预 |
| KEYWORDS： | Post-prescription review system； Self-maintenance system for rational drug use knowledge base； Pre-prescription review early warning system； Yaozhidao instant messaging system； Prescription review； Prescription intervention |
| 阅读数： | 435 次 |
| 本月下载数： | 23 次 |
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