基于CA认证、HR和HIS系统的抗菌药物分级管理初步研究

Preliminary Research of Classified Management of Antibiotics Based on Certificate Authority Authentication Technology,Human Resources Management System and Hospital Information System

目的:初步探讨基于CA认证、HR和HIS系统的抗菌药物分级管理。方法:以CA认证技术为载体,通过HR和HIS系统的无缝对接,将分线药物的使用权限分配给不同级别的医师。结果:门诊抗菌药物使用率由原来的23.8%下降到18.1%,住院抗菌药物使用率由原来的61.4%下降到54.2%,合理使用率由原来的85.1%上升到95.3%。结论:该研究有效遏制了抗菌药物的滥用,保障了医疗质量水平,落实了我院抗菌药物管理制度及规定。

Objective： To preliminarily investigate the classified management of antibiotics based on certificate authority authentication technology, human resources management system and hospital information system. Methods： Based on certificate authority authentication technology, to establish seamless joint between human resources management system and hospital information system which can strictly control antibiotics prescription of physicians in different levels according to their own ranks. Results： Utilization rate of antibacterial agents decreased from 23.8% to 18.1% ill outpatient service and decreased from 61.4% to 54.2% in inpatient service, rational utilization ratio up to 94.3% from 85.1%. Conclusion： This preliminary study restrains abuse of antibiotics, guarantees from medical quality level. Therefore, management system and regulations of antibacterial agents in our hospital have been carried out.