我院医院信息系统的改进及合理用药监控软件的应用.PDFVIP

我院医院信息系统的改进及合理用药监控软件的应用 董松飞＊，徐 昕（# 浙江象山县第一人民医院药剂科，浙江 象山 315700） 中图分类号 R95 文献标志码 C 文章编号 1001-0408（2013）05-0428-03 DOI 10.6039/j.issn.1001-0408.2013.05.16 摘 要 目的：利用信息技术减少用药差错、保障患者用药安全。方法：介绍我院使用的医院信息系统（HIS）的相关缺陷、之后进 行的必要的功能增设和修改及另外再嵌入合理用药监控软件后对我院药品使用过程的各个环节进行监控的情况，最后再评价功 能增设和监控软件配合应用后的实施效果。结果与结论：在HIS中增设了超剂量限制、特殊人群警示、配伍禁忌限制、“医保”限制 提醒等功能；合理用药监控软件可对医师用药进行事前、事中及事后控制。二者的配合实施在药品使用环节发挥了重要作用，有 效地警示和减少了错误用药和不合理用药，促进了患者用药的安全、有效。 关键词 医院信息系统；增设功能；合理用药监控软件；用药安全 Improvement of HIS and Application of Rational Drug Use Monitoring Software in Our Hospital DONG Song-fei，XU Xin（Dept. of Pharmacy，Xiangshan County First People’s Hospital of Zhejiang Province， Zhejiang Xiangshan 315700，China） ABSTRACT OBJECTIVE：To reduce medication errors and guarantee the safety of drug use in patients by using information tech- nology. METHODS：The defects of HIS in our hospital were introduced，and necessary additional functions were set up and modi- fied. Otherwise，various aspects of drug use in our hospital were monitored after embedding monitoring software of rational drug use. Finally，the effects of the establishment of additional functions were evaluated after combined with monitoring software. RE- SULTS CONCLUSIONS：Additional functions of HIS include overdose limits，caution for special population，prompting for in- compatibility and caution for“Medical Insurance”limits，etc. Monitoring software of rational drug use can check doctors’prescrip- tions in advance，at once and after the events. Combination of HIS and monitoring software play an important role in drug use to warn and reduce incorrect and irrational drug use；the safety and effectiveness of drug use have been promoted. KEY WORDS HIS；Additional functions；Monitoring software of rational drug use；Safety of drug use 随着科技进步，医院信息系统（HIS）已经在国内各大医院 1.2 无超剂量限制 中广泛应用。由于现代药学的发展，新药品不断涌现，国内常