基于HIS的医院药品安全性监测管理系统设计与应用

Design of Hospital Drug Safety Monitoring Management System Based on HIS

针对国内医疗机构普遍采用的纸质ADR(Adverse Drug Reaction)报告逐级上报的方式存在时效性差、收集及监管效率低下、报告质量不高等诸多问题,本文通过分析北京医院药品安全性监管的工作流程,设计了适合大型医疗机构的药品安全性监测管理系统,重点讨论了该系统的架构设计、功能设计以及设计的重点和难点,并通过与医院HIS(Hospital Information System)的对接,提高ADR报告的及时性、准确性,形成系统性的监测工作模式,建立了由基层医务人员与医院监测中心组成的两级药品安全性网络监管平台。该系统的设计可以为其他大型三甲医院开展药品安全性监测工作提供借鉴参考,具有现实意义和实际应用前景。

In view of the problems of poor timeliness, low efficiency of collection and supervision and low report quality existing in the level-by-level ADR report in paper mode that is generally used in domestic medical institutions, the working process of drug safety supervision in Beijing Hospital was analyzed in this paper and the monitoring and management system for drug safety was designed for large medical institutions. The architecture and function design, and the focus and difficulty of the system were discussed majorly. And by docking with HIS, the timeliness and accuracy of ADR report were improved and a systematic monitoring mode was formed to establish a two-level network supervision platform for drug safety composed of primary healthcare workers and the hospital monitoring center. The design of the system can provide reference for drug safety monitoring work in other 3A-grade hospitals, which has the realistic meaning and practical application.