2011年版电子病历系统与PASS融合对我院合理用药的管理效果分析  

Analysis of the Effects of 2011 Edition of Electronic Medical Record System and PASS Integration on Rational Drug Use Management in Our Hospital

作　　者：罗娟[1] 于峰[2] 李顺飞[1] 唐晓东[1] 胡倩[1] 曹冬[1] 

机构地区：[1]解放军第150中心医院全军医院信息管理研究基地,河南洛阳471031 [2]解放军第150中心医院药剂科,河南洛阳471031

出　　处：《中国药房》2013年第17期1542-1544,共3页China Pharmacy

基　　金：济南军区"十二五"医学科学技术研究项目(No.CJN12C028)

摘　　要：目的:为监督并纠正临床不合理用药现象提供新途径,提高医疗质量。方法:将2011年版军队卫生系统推出的电子病历系统与合理用药监测系统(PASS)通过药品数据字典配对、嵌入DLL函数、加入合理用药监测系统嵌套控制参数有效融合,对2010年(融合前)与2011-2012年(融合后)我院住院医嘱药物配伍监测及抗菌药物医嘱审核情况、药师合理用药监测力度等进行评价和比较。结果与结论:与融合前比较,融合后我院住院医嘱药物配伍不合理用药现象逐年减少,实现了抗菌药物医嘱的自动审核,提高了临床药师监测能力。但二者融合的实用性有待进一步加强和完善,以便进一步促进我院医疗质量的提高。OBJECTIVE： To provide a new way to monitor and correct irrational drug use in the clinic and to improve medical quality. METHODS： The 2011 edition of the electronic medical record system was effectively integrated with prescription automatic screening system through pairing drug data diction, implanting DLL function and adding parameter control. The compatibility of drugs monitoring and antibiotic doctor advice check and rational drug use monitoring by pharmacists were evaluated and compared in 2010 （before integration） and during 2011-2012 （after integration）. RESULTS ＆ CONCLUSIONS： Compared with before integration, irrational drug use of drug compatibility decreased year by year in our hospital after integration; antibiotic doctor＇ s advice had been rechecked automatically; capabilities monitoring by clinical pharmacists had been improved. The practicability of integration should be strengthened and improved so as to further improve medical quality of our hospital.

关 键 词：电子病历系统 合理用药监测系统 系统融合 使用管理 合理用药 

分 类 号：R952[医药卫生—药学]