我院特殊使用级抗菌药物会诊管理系统设计与应用
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摘要
目的为严格落实抗菌药物分级管理制度的要求,更好规范临床医师开具特殊级抗菌药物行为,借助信息技术的手段提高抗菌药物管理水平,提升医院医疗质量。方法对医师开具特殊级抗菌药物流程进行梳理,设计并开发既符合管理要求又方便临床医师操作的会诊管理系统。结果减少了临床医师开具医嘱的随意性,借助信息系统简化了工作流程,达到了抗菌药物分级管理的相关要求,方便了临床医师的日常工作,同时还进一步改善了抗菌药物管理相关质量指标。结论该系统的设计与实现将管理需求与HIS中临床医师日常工作进行了有效整合,兼具创新性与可操作性,值得向全国同行进行宣传与推广。
Objective To implement the requirements of antibacterial drug grading management system and standardize the practice of special antibacterial drug issued by clinicians, the information technology was used to improve the management of antibiotics and hospital medical quality. Methods The process of prescribing special antibacterial drugs by physicians was reviewed. Then a consultation management system which not only met the management requirements but also facilitated the operation of clinicians was designed and developed. Results The randomness of prescribing orders by clinicians was reduced, the working process was simplified with the help of information system, the relevant requirements of grading management of antimicrobial agents was achieved, and the daily work of clinicians was facilitated. At the same time, the quality index of antimicrobial drug management was further improved. Conclusion The design and development of new consultation management system integrate the management and daily work of clinicians with hospital information system(HIS). This innovative and operable system is worth to be publicized and promoted to the counterparts of whole country.
Objective To implement the requirements of antibacterial drug grading management system and standardize the practice of special antibacterial drug issued by clinicians, the information technology was used to improve the management of antibiotics and hospital medical quality. Methods The process of prescribing special antibacterial drugs by physicians was reviewed. Then a consultation management system which not only met the management requirements but also facilitated the operation of clinicians was designed and developed. Results The randomness of prescribing orders by clinicians was reduced, the working process was simplified with the help of information system, the relevant requirements of grading management of antimicrobial agents was achieved, and the daily work of clinicians was facilitated. At the same time, the quality index of antimicrobial drug management was further improved. Conclusion The design and development of new consultation management system integrate the management and daily work of clinicians with hospital information system(HIS). This innovative and operable system is worth to be publicized and promoted to the counterparts of whole country.
引文
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[12]袁克俭,杨婉花,索仲良,等.信息化在医院抗菌药应用管理监控中的实践与成效[J].上海医药,2012,33(11):32-34.
[13]王晟.抗菌药物管理系统的设计与应用[J].中国卫生信息管理杂志,2013,(6):538-541.
[14]苏煌财,林玉仙,张宏,等.抗菌药物临床合理使用信息化管理[J].中国医院药学杂志,2013,33(5):407-408.
[15]孙赟,朱振国,余春兰,等.基于电子病历系统的抗菌药物分级管理系统开发及应用[J].医学信息,2018,31(7):18-20
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[17]董军,王欣,李军,等.临床决策支持系统的构建与应用[J].中国卫生质量管理,2016,23(3):16-19.
[2]卫生部.2012年全国抗菌药物临床应用专项整治活动方案[Z].2012-03-05.
[3]国家卫生和计划生育委员会.抗菌药物临床应用指导原则[Z].2015-07-24.
[4]刘源.临床药学信息管理系统对抗菌药应用的影响分析[J].中国卫生产业,2016,13(8):27-29.
[5]陆少雁,余长春,林森.抗菌药物信息化管理系统实施前后抗菌药物使用合理性调查[J].中国当代医药,2016,23(11):158-160.
[6]王婷,李文斌,王纯叶,等.信息化联合质控干预抗菌药物应用的研究[J].中国医学创新,2018,(11).
[7]俞高.基于数据中心的医院抗菌药物使用质控平台[J].中国数字医学,2017,12(3):46-48.
[8]方维军,张艳丽,袁曼,等.特殊使用级抗菌药物网络在线审批对抗菌药物使用指标及细菌耐药的影响[J].中国药房,2016,(14):1905-1907.
[9]何敬成,张碧青,黄凯文.特殊使用级抗菌药物点评系统的开发与应用[J].中国合理用药探索,2015,(1):48-51.
[10]郑诗峰,王萍.网络在线审批流程实施前后我院特殊使用级抗菌药物使用情况及细菌耐药分析[J].中国药师,2017,20(3):509-512.
[11]田宗梅,李静怡,周薇,等.信息系统在医院特殊级使用抗菌药物管理中的作用[J].中国医院药学杂志,2016,36(20):1727-1730.
[12]袁克俭,杨婉花,索仲良,等.信息化在医院抗菌药应用管理监控中的实践与成效[J].上海医药,2012,33(11):32-34.
[13]王晟.抗菌药物管理系统的设计与应用[J].中国卫生信息管理杂志,2013,(6):538-541.
[14]苏煌财,林玉仙,张宏,等.抗菌药物临床合理使用信息化管理[J].中国医院药学杂志,2013,33(5):407-408.
[15]孙赟,朱振国,余春兰,等.基于电子病历系统的抗菌药物分级管理系统开发及应用[J].医学信息,2018,31(7):18-20
[16]胡珊珊.医院计算机网络在抗菌药物使用管理中的应用分析[J].中国管理信息化,2016,19(14):48-49.
[17]董军,王欣,李军,等.临床决策支持系统的构建与应用[J].中国卫生质量管理,2016,23(3):16-19.