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目的运用信息技术有效监控临床用药,实现对医嘱的自动核查并实时对问题医嘱发出预警提示,可在线查询药物使用说明、相互作用、配伍禁忌等相关信息,建立抗菌药物的分级管理和用药审批机制。方法通过中间库技术使合理用药系统内嵌至医院信息系统(HIS,Hospital Information System),按照规定的时间间隔进行中间数据的同步更新,从而保证对应数据的同步和完整,实现数据共享。合理用药系统通过同步获取来自HIS的数据并做智能化处理。结果系统实现了对全院范围临床用药的实时监控及警示,特别是严格控制了抗菌药物越级使用情况,并提供了丰富的用药知识库查询功能和统计分析功能。结论应用信息化技术是实现临床合理用药的重要手段,并且能够使医院合理用药管理做到实时、准确、快捷、高效。
Objective To effectively monitor clinical medication by using information technology, realize the automatic verification of doctor's advice and give early warning prompts on the doctor's advice. Online information such as drug instruction, interaction and incompatibility is established to establish the anti-bacterial drug administration and drug approval mechanism . Methods The rational drug system was embedded into the hospital information system (HIS) through the intermediate database technology, and the intermediate data was updated synchronously at the specified time intervals to ensure the synchronization and completeness of the corresponding data and achieve data sharing. Rational drug system by synchronizing access to data from the HIS and intelligent processing. Results The system realizes the real-time monitoring and warning on the clinical medication in the whole hospital. Especially, it strictly controls the use of anti-bacterial drugs and provides rich query functions and statistical analysis functions of the medication knowledge base. Conclusion The application of information technology is an important means to achieve clinical rational use of drugs, and can make the hospital rational drug administration to achieve real-time, accurate, fast and efficient.