基于海量处方医嘱条目信息的医院安全合理用药信息化示范应用场景构建

Construction of the intelligence scenario for the safe and rational drug use based on massive prescription and medical advice in hospitals

目的探讨如何利用智能应用场景促进医院药学服务质量提升。方法查阅文献,系统整理医院药学智能应用场景需求,并结合本院工作实践,介绍近年来武汉大学中南医院智能应用场景构建过程与实践经验。结果武汉大学中南医院逐渐搭建了涵盖药品供应、养护、调剂、处方审核、临床药学服务及药事管理的智能场景。实现处方智能审核及点评;药品采供计划智能生成;药品验收、保养、维护、分拣、调剂智能化;重点监控药品、抗菌药物及麻精药品管理信息化。在人力资源紧缺的情况下,保障医院药品供应,药品使用合理率逐步提升,抗菌药物使用率及重点监控药品使用金额占比逐渐下降。结论智能化技术的应用节约人力资源,提高药学工作效率,提升药事管理质量,应大力推进及继续拓展医院药学智能场景应用,提供创新性人机融合药学服务。

Objective To discuss how to utilize intelligence application scenarios to promote the quality of hospital pharmaceutical care.Methods The literature was consulted and the needs of intelligence application scenarios in hospital pharmacy were systematically sorted out.The construction and practice of intelligence application scenarios in hospitals were introduced combining the pharmaceutical work practice of Zhongnan hospital of Wuhan University.Results Zhongnan Hospital of Wuhan University has gradually established intelligence systems covering the aspects of drug supplies,maintenance,dispensing,prescription checking,clinical pharmacy services and pharmacy management.Intelligent prescription checking and review,intelligent generation of drug procurement and supply plans,acceptance,maintenance,sorting and dispensing has realized.Informatization of the management of intensive monitoring drugs,antibiotics and anesthetic drugs were focused.In the context of scarce human resources,the supplies of drug in hospitals has been ensured,the rational rate of drug use has gradually increased,the utilization rate of antibiotics and the amount of intensive monitoring drugs have gradually decreased.Conclusion Intelligence technology saves human resources,improves the efficiency and quality of pharmaceutical management.The application of intelligence scenarios should be promoted and expanded in hospital pharmacy,and provide innovative human-computer integration pharmacy services.