基于国家电子病历7级标准建设高警示药品闭环管理体系  

Construction of High-risk Medications Closed-loop Management System Based on the National Electronic Medical Record Level7

作　　者：冯婉华 岑菡婧 卢嘉丽 张雅婷 宋万生 黄金红 郑伟 和凡 陈怡禄 莫小兰 FENG Wanhua;CEN Hanjing;LU Jiali;ZHANG Yating;SONG Wansheng;HUANG Jinhong;ZHENG Wei;HE Fan;CHEN Yilu;MO Xiaolan(Department of Pharmacy,Guangzhou Women and Children's Medical Center,Guangzhou,Guangdong 510623,China)

机构地区：[1]广州市妇女儿童医疗中心药学部,广东广州510623

出　　处：《今日药学》2023年第5期386-391,共6页Pharmacy Today

基　　金：广东省医院药学研究基金(2021A35);广东省中医药局科研项目(20211302);广州市科技计划项目(202102010237)。

摘　　要：目的基于国家电子病历7级标准完善高警示药品闭环管理模式,评价其实施成效,为医院药学信息化建设提供实践经验。方法在高警示药品闭环管理过程中对数据整合性、一致性、及时性和完整性进行质量管理,梳理好闭环流程的数据流,建立起符合国家电子病历7级标准的高警示药品闭环管理体系。结果完善后的高警示药品闭环管理体系满足了国家电子病历7级等级评审要求,能够有效梳理闭环流程风险质控关键点和规范医护人员的工作流程,提高工作效率。结论基于国家电子病历7级标准构建高警示药品闭环管理模式可以更好地严把数据质控关,减少临床发药、用药差错,确保患者用药安全。OBJECTIVE To improve the closed-loop management mode of high-risk medications based on the national electronic medical record level 7,evaluate its implementation effectiveness,and provide practical experience for the construction of hospital pharmacy informatization.METHODS In the original closed-loop management system of high-risk medications,based on the requirements of the national electronic medical record level 7,the data flow of that was combed through,the quality management of data integration,consistency,timeliness and integrity were carried out,and a closed-loop management system of high-risk medications that met the national electronic medical record level 7 standard was established.RESULTS The improved closed-loop management system now was to prefer the standard of the national electronic medical record level 7,which could effectively sort out the key points of risk quality control in the closed-loop process,and effectively standardized the process of staff and improved their efficiency.CONCLUSION Based on the national electronic medical record level 7,the closed-loop management mode of high-risk medications can reduce clinical drug dispensing and medication errors,what's more,it can control the quality of data better and ensure the medication safety of patients.

关 键 词：高警示药品 国家电子病历7级系统 闭环管理 

分 类 号：R95[医药卫生—药学]