闭环控制的抗菌药物使用监管干预一体化系统设计与实现

Design and implementation of integration system for use, supervision and intervention of antimicrobials based on closed-loop control

目的:为加强抗菌药物的临床应用管理,提高其使用合理性,设计抗菌药物使用、监管和干预一体化系统。方法:利用计算机技术和闭环控制原理,建立抗菌药物辅助决策知识库和规则库,实现抗菌药物使用、监管和干预一体化,搭建统计分析平台,实现医院、科室和医生不同层级对抗菌药物使用详细情况的统计分析和追溯。结果:该系统对临床医生使用抗菌药物实现了全方位的指引监管,抑制了医疗资源和费用的浪费,减少了不良反应现象的发生。结论:该系统界面友好、操作简单,为全面监管抗菌药物临床合理使用提供了有效的解决方案,值得推广应用。

Objective To design an integration system for use, supervision and intervention of antimicrobials to strengthen the management and improve the rationality in clinical use. Methods By using the computer technology and closed-loop control principle, the knowledge base and rule base were established to realize the integration for use, supervision and intervention of antimicrobials. The statistical analysis platform was also built to complete the statistical analysis and traceability of the used antimicrobial by different levels of hospitals, departments and doctors. Results The system achieved a full range of guidelines for the clinical use of antimicrobials. The waste of medical resources was suppressed and the adverse reactions and medical cost were also reduced. Conclusion The system has friendly interface and simple operation, which provides an effective solution for the rational use of antimicrobials. [Chinese Medical Equipment Journal,2017,38(10):42-44,51]