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目的:建立全静脉营养(TPN)处方决策支持系统,方便临床医务人员合理开具及审核TPN处方。方法:自主设计和开发基于B/S结构的TPN处方决策支持系统,并应用该系统对医院TPN处方进行审核。结果:该系统包括患者标准能量管理模块、全营养混合液(TNA)药品当量管理模块、处方合理性评价模块等功能模块。通过该系统对TPN处方的综合评价,确实发现了我院TPN处方存在的缺陷及不足。结论:该系统的应用方便了临床医务工作者开具及审核TPN处方,提高了工作效率,同时也提高了TPN处方的合格率,确保了患者用药安全及临床治疗质量。
OBJECTIVE: To establish a prescription decision support system for total intravenous nutrition (TPN) to facilitate the clinical staff to issue and review TPN prescriptions reasonably. Methods: TPN prescription decision support system based on B / S structure was designed and developed independently, and the system was used to review the hospital TPN prescription. Results: The system includes functional modules such as patient standard energy management module, TNA equivalent drug management module and prescription rationality evaluation module. Through the system of TPN prescription comprehensive evaluation, did find the TPN prescription defects and deficiencies in our hospital. Conclusion: The system is convenient for clinicians to issue and review TPN prescriptions, improve work efficiency, and improve the pass rate of TPN prescriptions to ensure the medication safety and clinical quality of patients.