基于社区卫生服务信息系统提高药品不良反应监测水平

Improvement of the ADR Monitoring Level Based on Community Health Service Information System

目的:通过对我国社区药品不良反应(ADR)监测工作的现状及社区卫生服务信息系统(CHSIS)的基本结构分析,在CHSIS基础上拓展系统功能,开展社区ADR监测工作,以弥补现阶段社区ADR监测的不足。方法:通过查阅文献了解CHSIS的基本结构和应用现状,阐明CHSIS拓展和对接的可行性,并通过图示和描述直观地展示相关方案。结果:在CHSIS现有的"六位一体"功能上拓展新的"安全用药"模块,通过用药监测、ADR管理、安全教育三个功能促使社区ADR监测工作深入开展,提高合理用药和安全用药水平。结论:在互联网应用日益普遍和步入老龄化社会的今天,将ADR报告系统融入CHSIS,开展监测、设置专职临床药师、加强对社区卫生服务机构的工作指导,无论从疾病治疗还是从ADR监测工作角度考虑,都具有十分重要的意义。

Objective： To develop community ADR monitoring work based on CHSIS function by analyzing the present situation of community ADR monitoring work and fundamental structure of CHSIS in our country, so as to compensate the current deficiency of community ADR（adverse drug reaction） monitoring. Methods： The fundamental structure and application status quo of CHSIS were studied by reviewing literature. The feasibility of the expansion and docking of community health service information system was illustrated. In addition, the related schemes were shown by graphic expression and intuitive description. Results： The new module of safety medication was explored based on the existing Six in One module in CHSIS. The community ADR monitoring work was deeply promoted by medication monitoring, ADR administration and safety education, so as to improve the rational use of drugs and the level of drug medication. Conclusion： With the rapid development of internet and aging society, it is of great significance to integrate ADR reporting system with the CHSIS to carry out automatic monitoring, to set up full-time clinical pharmacists, and to enhance guidance for the community medical institutions, for the sake of the treatment of disease and the improvement of ADR monitoring work.