医嘱的信息化控制在抗菌药物管理中的作用

Effectiveness of an information technology intervention on antibiotics orders

目的:探讨信息化管理在促进临床合理应用抗菌药物中的作用。方法:分别于2011、2013年通过电子病历系统相继嵌入抗菌药物医嘱的相关干预程序,实施对抗菌药物规范使用的信息化管理。结果:通过信息化干预,抗菌药物的使用率从25.7%降到19.2%(清洁切口使用率从98.4%降到11.4%),使用强度从24.7DDDs降到11.9DDDs(其中外科从26.2DDDs降到19.3DDDs),病原学送检率稳定在80%左右;医保专项扣款也明显减少。结论:抗菌药物医嘱的信息化控制有效规范了抗菌药物临床使用行为,有助于长效管理机制的建立。

Objective To explore the effect of information intervention measures on rational application of antibiotics. Methods We embedded the intervention procedure of antibiotics orders in the electronic medical record system,and im- plemented information management in 2011and 2013 respectively. ResultsAfter the information technology intervention, antibiotics application rate decreased from 25.70% to 19.2 % （clean surgeries from 98.4 % to 11.4%）, antibiotics use density（AUD） decreased to 11.9 DDDs from 24.7 DDDs （surgical AUD dropped to 19.3 DDDs from 26.2 DDDs）. E- tiology inspection rate stayed around 80%, and the antibiotics deduction of medical insurance reduced significantly. Conclusions Information technology intervention on electronic orders regulates the behavior of the antibiotics usage ef- fectively and contributes to the establishment of long--term management mechanism.