基于信息集成技术的青霉素类用药安全闭环管理系统的构建及应用

Construction and Application of Penicillin Drug Safety Closed-loop Management SystemBased on Information Integration Technology

目的:探讨基于信息集成技术的青霉素类用药安全闭环管理系统的构建及其对患者用药安全的重要性。方法:在原有医疗信息系统、射频识别技术等基础上,通过信息集成技术建立包括标准化药物信息采集、医嘱开单系统屏障、用药风险预警等用药安全闭环管理设置。通过试运行完善结构化录入、药物字典维护提醒及自动反馈等功能,在全院上线运行青霉素类用药安全闭环管理系统。分析实施前(2018年)及实施后(2020年)青霉素类药物相关护理不良事件发生情况,调查护士对青霉素类用药安全闭环管理系统的有效性评价情况。结果:实施后青霉素类药物用药不良事件发生率下降(P<0.05),医护人员医疗信息系统使用满意度上升(P<0.05)。护士对青霉素类用药安全闭环管理系统的有效性评价较好。结论:基于标准化信息集成的用药安全闭环管理系统可有效降低患者药物过敏相关不良事件的发生,提升用药安全性。

Objective:To explore the construction of penicillin drug safety closed-loop management system based on information integration technology and its importance for drug safety of patients.Method:Based on the former medical information system and radio frequency identification(RFID)technology,the closed-loop management system of medication safety was established by information integration technology,including standardized drug information collection,system barrier of doctor’sordering and billing,early warning of medication risk,etc.Through the trial operation to improve the structuredinput,drug dictionary maintenance reminder and automatic feedback and other functions.The closed-loop management system of penicillin drug safety after operation in the whole hospital.Objective:To investigate the incidence of adverse nursing events related to penicillin drugs before and after implementation(2018 and2020),and to investigate the effectiveness of closed-loop management system for penicillin drug safety among nurses.Results:Adverse events of penicillin drugs were decreased significantly(P<0.05).The satisfaction of medical information systemuse among medical staff was increased(P<0.05).The effectiveness of the closed-loop management system for penicillin drug safety was evaluated by nurses.Conclusion:The closed-loop Medication Safety Management System based on standardized information integration can effectively reduce the occurrence of drug-related adverse events and enhance medication safety.