药师工作站的设计与应用
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篇名: 药师工作站的设计与应用
TITLE:
摘要: 目的:建立可实现药学服务信息化、智能化的药师工作站,促进药学工作的全流程规范化和服务质量的提升。方法 :介绍我院自主研发的药师工作站的具体功能模块,通过对比工作站上线应用前后1年内相关工作质量和工作效率指标,评价其使用效果。结果:药师工作站基于本院电子病历设计,组成模块包括用药知识库、处方审核、不良反应管理、用药整合、会诊管理、质控与绩效等,与医院信息系统兼容性高,可深度干预医嘱运行;其上线使用后实现了对患者用药的有效管控,医嘱审核实现全覆盖,处方合格率上升2.26%(97.10% vs. 99.30%),不合理医嘱干预成功率上升18.61%(62.34% vs. 80.95%),药品相关不良事件降低13.54%(635件 vs. 549件),药学会诊、血药浓度监测和基因检测报告实现无纸化,用药指导单书写时间明显缩短(20.34 min vs. 8.21 min,n=100)。结论 :药师工作站的应用推进了药师工作的信息化和规范化,为用药审核、干预、药学服务、药事管理等工作提供了高效便捷的工具。
ABSTRACT: OBJECTIVE: To establish pharmacist workstation that can realize the informatization and intellectualization of pharmaceutical care, and to promote the standardization of the whole process of pharmaceutical work and the improvement of service quality. METHODS: The specific function modules of pharmacist workstation developed by our hospital were introduced. The effects of pharmacist workstation were evaluated by comparing the quality and efficiency of pharmaceutical work within a year before and after the application of the workstation. RESULTS: The designation of pharmacist workstation based on electronic medical record of our hospital, its modules included medication knowledge database, prescription review, ADR management, medication integration, consultation management, quality control, performance, etc. The workstation was compatible with HIS, it could intervent the operation of medical order deeply. The application of the pharmacist workstation has realized effective control of the patient’s medication information. The medical order has reviewed fully. The qualified rate of the prescription increased by 2.26% (97.10% vs. 99.30%); success rate of unreasonable medical order intervention increased by 18.61% (62.34% vs. 80.95%); drug related ADR events reduced by 13.54% (635 vs. 549 pieces). The paper-free pharmaceutical consultation, blood concentration monitoring and gene detection report were realized, and the writing time of medication guide sheet was shortened significantly (20.34 min vs. 8.21 min, n=100). CONCLUSIONS: The application of pharmacist workstation has promoted the informatization and standardization of pharmacists’ work, and provides an efficient and convenient tool for medication review, intervention, pharmaceutical care, pharmaceutical management, etc.
期刊: 2018年第29卷第17期
作者: 任炳楠,连玉菲,尚清,赵越,吴惠珍,董占军
AUTHORS: REN Bingnan,LIAN Yufei,SHANG Qing,ZHAO Yue,WU Huizhen,DONG Zhanjun
关键字: 药师工作站;临床药师;功能模块;处方审核
KEYWORDS: Pharmacist workstation; Clinical pharmacist; Function module; Prescription review
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