基于HIS的处方点评管理体系的构建与实施Δ

Construction and Implementation of Prescription Evaluation Management System Based on HIS

目的:基于医院信息系统(HIS)开发处方点评计算机程序,完善处方点评管理体系,推动"医疗服务阳光用药工程"建设。方法:以《医院处方点评管理规范》(试行)的要求为基础,将行政干预和计算机信息化相结合,从运行流程及组织架构的优化、计算机程序功能的体现、行政管理措施的落实等方面着手,构建一套完善的处方点评管理体系。结果:通过实施多样化的处方抽样模式,可实现门急诊全处方点评、专科处方点评、特定医师群体处方点评、特定药品处方点评、特定药物分类处方点评;将人工点评与智能汇总相结合,可高效点评处方中存在的不规范处方、不合理处方、超常处方。结论:该管理体系可实现处方自动传递、抽样智能化、统计汇总自动化、结果公示智能化,改善单纯计算机点评模式的机械化,满足临床药物治疗需求。完善的组织构架、合理的奖惩措施,有助于提升处方合理率,促进合理用药,加强"医疗服务阳光用药工程"建设。

OBJECTIVE： To develop a prescription evaluation program based on hospital information system （HIS）, and to improve prescription evaluation management system in order to promote the construction of ＂sunshine administration engineering＂. METHODS： Based on the requirements of Hospital Prescription Evaluation and Management （for trial）, combing with administrative intervention and computer information, a set of perfect prescription evaluation management system had constructed from optimizing operating processes and organizational structure, reflecting the computer program functions and implementing the administrative measures, etc. RESULTS： Through a variety of prescription sampling mode, we can achieve full evaluation of outpatient and emergency prescriptions, specialty prescription evaluation, prescription evaluation by specific doctor groups, prescription evaluation of specific drugs, prescription evaluation of specific drug classification. Intelligent summary statistics combined with manual evaluation could be highly effectively solved non-standard prescriptions, unreasonable prescriptions and supernormal prescriptions. CONCLUSIONS： The management system can achieve automatic prescription transmission, intelligent sampling, automatic statistical summary and intelligence publication. It can avoid simple inflexible computer evaluation and meet the needs of clinical drug therapeutics. Prefect organizational structure and reasonable incentives are useful for improving reasonable rate of prescriptions and rational use of drugs, and strengthening the ＂sunshine administration project＂ construction.