基于信息化平台构建鹿瓜多肽注射液治疗类风湿关节炎的药学监护体系

Construction of Pharmaceutical Care System of Lugua Polypeptide Injection for Rheumatoid Arthritis Based on Information Platform

目的借助医院信息化建设平台,建立鹿瓜多肽注射液治疗类风湿关节炎的药学监护体系。方法电子医嘱中增加中医辨证记录,并引进中医四诊仪助力中医辨证;信息化审方中加强对溶媒的审核,对配制与配送过程进行信息化监管;利用数字化医患交流平台对风湿病科200例使用鹿瓜多肽注射液治疗类风湿关节炎的出院患者进行回访,将用药监护服务延伸至院外,及时反馈给医务部、护理部,做好质量改进。结果鹿瓜多肽注射液治疗类风湿关节炎的辨证准确率提高,不合理医嘱率由54.44%降至27.00%,药品超时配送例数由21例降至10例,患者药学随访满意度由90.82%提升至95.91%。结论鹿瓜多肽注射液药学监护体系的建立,需将中医辨证与现代信息化手段相结合,以辨证为基础,开展多元化、立体化、信息化的监护,建立健全监督考核机制,规范用药行为,保证用药安全,提升患者满意度。

OBJECTIVE To establish a pharmaceutical monitoring system for rheumatoid arthritis with Lugua polypeptide injection with the help of hospital information construction platform. METHODS Increased the dialectical records of traditional Chinese medicine(TCM) in electronic medical records, and introduced TCM four diagnostic instruments to help dialectical TCM. Reinforced the examination of solvents in informationized trials, and supervised the process of preparation and distribution. A digital doctor-patient communication platform was used to return visits to 200 patients discharged from rheumatoid arthritis treated with Lugua polypeptide injection in the rheumatology department. The medication monitor-ring service was extended outside the hospital, and timely feedback was provided to the departments of medical and nursing to improve quality. RESULTS The diagnostic accuracy rate of Lugua polypeptide injection in the treatment of rheumatoid arthritis was improved. The rate of unreasonable medical orders decreased from 54.44% to 27.00%, and the number of overtime delivery cases decreased from 21 to 10, and the patient satisfaction with pharmacy return visits increased from 90.82% to 95.91%. CONCLUSION The establishment of a pharmaceutical monitoring system for Lugua polypeptide injection requires a combin-ation of TCM syndrome differentiation and modern information methods. It is based on the syndrome differentiation, and it need to carry out diversified, three-dimensional and information-based monitoring, then establish and improve the supervision and assessment mechanism, standardize medication behaviors, ensure medication safety, and improve patient satisfaction.