儿科用药决策支持平台的构建及实践成效分析  

Construction of Pediatric Medication Decision Support Platform and Analysis of Practical Results

作　　者：杨坤 邢相宜 马丙锁 张海珠 张良明[2] 袁晓燕[2] 余婷 晏子俊[2] YANG Kun;XING Xiang-yi;MA Bing-suo;ZHANG Hai-zhu;ZHANG Liang-ming;YUAN Xiao-yan;YU Ting;YAN Zi-jun(College of Pharmacy,Dali University,Dali 671000,China;Department of Pharmacy,Panzhihua Central Hospital,Panzhihua 617067,China)

机构地区：[1]大理大学药学院,云南大理671000 [2]攀枝花市中心医院药学部,四川攀枝花617067

出　　处：《海峡药学》2024年第2期63-67,共5页Strait Pharmaceutical Journal

基　　金：云南省科学技术厅地方高校联合专项-面上项目(202001BA070001-041,2019FE001(-30));四川省中医药管理局科研课题(2023MS057);四川省预防医学会项目(川预学-静配-2020-005);四川省医院协会青年药师科研专项资金项目(22009)。

摘　　要：目的构建基于处方前置审核系统的儿科用药决策支持平台,对其在儿科患者中的实践成效进行分析。方法挖掘我院处方大数据,建立用药知识库,搭建儿科用药决策支持平台;收集我院2021年和2022年处方前置审核系统的儿科门诊处方资料,评价平台实施成效。结果构建了儿科用药决策支持平台;平台使用后我院儿科门诊处方系统预审张次增多,预审问题处方张次及刚性拦截处方张次显著减少;处方合格率从2021年的77.43%升高至2022年的86.40%,不合理处方减少。结论儿科用药决策支持平台的构建及实施,显著提高了儿科处方质量及合理用药水平。OBJECTIVE A prescription pre-review system was utilized to develop a pediatric medication decision support platform,which was subsequently evaluated for its efficacy in pediatric patients.METHODS The present study involves the extraction of extensive prescription data from our hospital,with the aim of establishing a comprehensive drug knowledge base and developing a pediatric drug decision support platform.To assess the effectiveness of this platform,prescription data from the pediatric outpatient department were collected for the years 2021 and 2022,specifically focusing on the evaluation of its implementation.RESULTS A pediatric medication decision support platform was developed,resulting in an increase in the number of pre-examination prescriptions within our hospital′s pediatric outpatient prescription system.Additionally,there was a notable decrease in the number of pre-examination problem prescriptions and rigid interception prescriptions.The qualified rate of prescriptions also experienced a positive shift,rising from 77.43% in 2021 to 86.40% in 2022,while the occurrence of irrational prescriptions decreased.CONCLUSION The construction and implementation of pediatric medication decision support platform significantly improved the quality of pediatric prescription and rational drug use.

关 键 词：儿科 合理用药 决策支持平台 实践成效分析 

分 类 号：R969.4[医药卫生—药理学]