中国药物警戒 ›› 2010, Vol. 7 ›› Issue (2): 91-94.

• 管理研究 • 上一篇    下一篇

医院门诊处方监测、提示系统的开发与应用

相秀英1,2, 白波3, 胡广卉2, 赵志刚1, 王韬1, 王莉文1, 崔向丽1*   

  1. 1首都医科大学附属天坛医院药剂科,北京 100050;
    2北京市大兴区人民医院药剂科,北京 102600;
    3首都医科大学附属天坛医院信息中心,北京 100050
  • 收稿日期:2016-02-19 修回日期:2016-02-19 出版日期:2010-02-08 发布日期:2016-02-19
  • 通讯作者: 崔向丽,女,主管药师,临床合理用药与不良反应监测。E-mail:cui10@163.com
  • 作者简介:相秀英,女,主管药师,临床合理用药。

Development and Application of Prescription Supervisory System for Outpatient Doctors Workstaion

XIANG Xiu-ying1,2, BAI Bo3, HU Guang-hui2, ZHAO Zhi-gang1, WangTao1, WANG Li-wen1, CUI Xiang-li1,*   

  1. 1Pharmacy department of Beijing tiantan hospital affiliated to capital medical university, Beijing,100050;
    2Pharmacy department of Beijing daxing people's hospital, Beijing,102600;
    3Information center of Beijing tiantan hospital affiliated to capital medical university, Beijing, 100050
  • Received:2016-02-19 Revised:2016-02-19 Online:2010-02-08 Published:2016-02-19

摘要: 目的 构建门诊处方合理用药监测提示系统,促进合理用药,减少不良反应发生。方法 利用本院最新药品说明书、《新编药物学》、《临床用药须知》等药学专业工具将特殊人群用药、注意事项、最佳用药时间、严重不良反应及用药禁忌等用药信息汇总后,利用VisualC++开发成处方提示系统,嵌入His处方系统,进行处方监测和提示。结果 试运行监测系统半年后,对监测系统运行前的953张处方与运行后的931张处方作对比。违规记录发生率平均下降6.63%,违规处方发生率平均下降7.48%。结论 利用处方提示系统对促进临床合理用药行之有效,尚待进一步完善。

关键词: 合理用药, 电子处方, 提示系统, 用药监测

Abstract: Objective To prompt rational medication and reduce adverse drug reactions in our hospital, we developed a rational medication supervisor and suggestive system for outpatient doctors workstation. Methods We collected drug-use informations such as special people, attentions, serious adverse drug reactions, contraindications from medicine reference books from the latest drug leaflet,《new compiled pharmacology》 and《Clinic medication notice》, and then developed prescription supervising and prompting programmes which was embedded in outpatient doctor workstation. This system can help and monitor drug-application prescribed by doctors in outpatients department. Results We compared the 931 prescriptions after running of the supervisor system with the 953 prescriptions before using this system, after using this supervisory system for half of a year, the irrational records occuration rate decreased by 6.63%,and the irra-tional prescriptions occuration rate decreased by 7.47%. Conclusion The prescription suggestive and supervisory system is effective for promoting rational medication in clinic, and this system is need to modulated to consummate.

Key words: rational medication, electric prescription, suggestive system, medication monitor

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