药品辅助决策系统拦截不合理处方合理性分析

Abstract

目的 通过对我院在HIMSS信息化标准指导下建立的药品辅助决策系统拦截的不合理处方进行分析,并评价其拦截的合理性,以优化审方流程,促进合理用药,提高处方合格率,保证临床用药安全、有效.方法 对2017年4-7月药品辅助决策系统拦截的不合理处方进行整理,并通过比对文献及药品说明书的内容,分析其拦截的合理性.结果 统计结果显示,2017年4-7月,药品决策系统拦截不合理处方合格率达92.03%.药品辅助决策系统上线以来,有效的拦截了不合理及不适宜的处方,实现事先干预,以辅助医生开具最佳给药方案.结论 药品信息化建设有效的辅助了医生临床决策,保证了患者的用药安全.促进我院对医疗信息安全的规范化、国际化、标准化,提高医疗卫生专业技术水平.

Objective To analyse the unreasonable prescriptions that intercept by drug aided decision system under the guidance of HIMSS information standard, and to evaluate the rationality of its interception, then optimize the prescription audit process and promote rational drug use, in order to improve the prescription rate and ensure the safe and effect use of medicine. Methods Classifed unreasonable prescriptions that intercept drug aided decision system from April to July 2017, then analyzed the rationality of interception by drug instructions and literature. Results Statistical results showed that from April to July 2017, intercept unreasonable prescription pass rate of drug decision-making system was 92.03%. Since the application of drug aided decision system, it had effectively intercepted the unreasonable and inappropriate prescription and implemented prior interventions to assist doctors in prescribing the optimal dosage regimen. Conclusion The construction of drug information effectively assists doctors in making clinical decisions, drug aided decision system can improve medical quality, reduce medical errors, ensure patient safety, promote our hospital on the medical information safety standardization, internationalization, standardization.