CN103235873A - Level-to-level administration control system for permission of doctor's prescription to antibacterial agents - Google Patents

Level-to-level administration control system for permission of doctor's prescription to antibacterial agents Download PDF

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Publication number
CN103235873A
CN103235873A CN2013101185532A CN201310118553A CN103235873A CN 103235873 A CN103235873 A CN 103235873A CN 2013101185532 A CN2013101185532 A CN 2013101185532A CN 201310118553 A CN201310118553 A CN 201310118553A CN 103235873 A CN103235873 A CN 103235873A
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China
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doctor
module
level
antibacterials
request
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Pending
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CN2013101185532A
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Chinese (zh)
Inventor
王选锭
陈建群
俞剑
王辉
吴振波
胡纪梁
李武胜
许杰
周权
赵阔路
金瑞海
江智扬
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Hangzhou Enjoyor Smart Medical Group Co ltd
Second Affiliated Hospital Zhejiang University College Of Medicine
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Hangzhou Enjoyor Smart Medical Group Co ltd
Second Affiliated Hospital Zhejiang University College Of Medicine
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Priority to CN2013101185532A priority Critical patent/CN103235873A/en
Publication of CN103235873A publication Critical patent/CN103235873A/en
Pending legal-status Critical Current

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Abstract

A level-to-level administration control system for permission of doctor's prescription to antibacterial agents comprises an information acquisition module, a first communication module and a server which is used for achieving control to authorized use, wherein the information acquisition module comprises a fingerprint acquisition unit and an ultra vires request control unit used for sending out an overstepped use request and confirming reply message; both a fingerprint acquisition unit and an ultra vires request control unit are connected the first communication module; the server comprises a doctor's prescription setting module, an antibacterial agent classified catalogue module, a second communication module used for receiving information of an information acquisition module, and a control module which is used for authentication to doctors at different levels, receiving authorized use request of a doctor being at a lower level and having no permission, sending out request to a medical advice interface and allowing a high-level doctor having a corresponding limits of authority to verify through finger-print. According to the invention, normativity and authenticity in authorized use of clinical doctors' antibacterial agents are effectively and auxiliarily achieved, the autorhythmicity and compliance of level-to-level administration system, as well as the rationality in clinical application of antibacterial agents can be enhanced.

Description

Antibacterials doctor formula authority classification management control system
Technical field
The present invention relates to a kind of antibacterials doctor formula authority classification management control system
Background technology
Bacterial drug resistance has become the serious public health problem in the whole world, along with antibacterials being extensive use of of medical treatment and other fields, drug-resistance of bacteria is also in continuous enhancing.The powerful selection pressure of antibacterials that the unreasonable use of antibacterials produces is that bacterial resistance takes place, the basic reason of development, strengthen antibacterials clinical practice management, especially use the management of level or special use level antibacterials extremely urgent to the restriction that the bacterial resistance influence is big, price is high or bad reaction is bigger, and effective and feasible differentiated control The Application of Technology is the best means that the above-mentioned antibacterials of standard are rationally used.
But when opening the antibacterials prescription, can guarantee the true technology of authorizing of higher level doctor owing to lack, the doctor of subordinate of no appropriate level antibacterials prescription authority directly uses higher level doctor's job number and password to open the antibacterials that they can not open under the ignorant situation of the higher level doctor that is everlasting, and perhaps higher level doctor's password of directly revealing oneself to the doctor of subordinate can be opened high-level antibacterials at it during not in hospital by the doctor of subordinate.These phenomenons cause the antibacterials differentiated control to lose meaning, fail to reach real licensing, cause doctors at different levels arbitrarily to use antibacterials, can not ensure patient's interests and safety, responsibility was indeterminate when generation caused damage to patient because of the antibacterials improper use.
Summary of the invention
At present antibacterials higher level doctor is arbitrarily licensed and false above-mentioned phenomenon in order to overcome, the invention provides and a kind ofly can guarantee antibacterials classification use authority authenticity, uniqueness and the higher level doctor with fine operability authorize the doctor of subordinate to use to be higher than the differentiated control control system of the antibacterials of its prescription authority, effectively auxiliary realization antibacterials clinician licenses standardization and authenticity, assurance lack of competence doctor can not authorize and open antibacterials prescription and doctor's advice, improve clinician's antibacterials and use the compliance of self-disciplining and differentiated control system, and antibacterials clinical practice rationality.
The technical solution adopted for the present invention to solve the technical problems is:
A kind of antibacterials doctor formula authority classification management control system, described control system comprises information acquisition module, first communication module and the server in order to realize using differentiated control to control, described information acquisition module comprises in order to gather doctor's fingerprint to be realized the fingerprint collecting unit of authentication and comprises the request licensed and confirm to license the request of the going beyond one's commission control module of return information in order to transmission, described fingerprint collecting unit, the request control module of going beyond one's commission all is connected with described first communication module, and described server comprises: the doctor's authority that arranges in order to doctor and authority thereof to different stage arranges module; In order to dissimilar antibacterials and the doctor of corresponding level are set up the antibacterials layered directory module of corresponding sequence; Second communication module in order to the information that receives information acquisition module; In order to low level physicianship checking and according to doctor's authority the request of licensing that module is determined its authority and received the low level doctor being set, and this is licensed request sending to high-level doctor and confirm the authorization control module of replying.
Described first communication module is connected by communication network with second communication module.
Further, the described request control module of going beyond one's commission is network customer side authentication unit or short-message verification unit.Certainly, also can adopt other modes to send request.
Further again, information acquisition module, first communication module are integrated in the same module.
In addition, for the clinician, carry information acquisition module, the information acquisition module that each doctor carries all is connected with server, described server has played the effect of integrated management control to the use of each antibacterials, low level doctor uses the high-level antibacterials of not having the prescription authority if desired, can send the request of licensing to server in real time, server can in time be licensed this request and send to the high-level doctor with prescription authority, and require this high-level doctor to confirm to reply, by the time after confirming to reply, low level doctor just is allowed to use these high-level antibacterials.
Beneficial effect of the present invention mainly shows: effectively auxiliary realization antibacterials clinician licenses standardization and authenticity, assurance lack of competence doctor can not bypass the immediate leadership and open antibacterials, improve doctor's antibacterials at different levels and use the compliance of self-disciplining and differentiated control system, and antibacterials clinical practice rationality.
Description of drawings
Fig. 1 is the theory diagram of antibacterials doctor formula authority classification management control system.
Embodiment
Below in conjunction with accompanying drawing the present invention is further described.
With reference to Fig. 1, a kind of antibacterials doctor formula authority classification management control system, described control system comprises information acquisition module 1, first communication module 2 and in order to realize licensing the server 3 of control, described information acquisition module 1 comprises in order to gather the request of the going beyond one's commission control module 12 that doctor's fingerprint is realized the fingerprint collecting unit 11 of authentication and comprised the request licensed and affirmation return information in order to transmission, described fingerprint collecting unit 11, the request control module 12 of going beyond one's commission all is connected with 2 of the described first communication moulds, and described server 3 comprises: the doctor's authority that arranges in order to doctor and authority thereof to different stage arranges module 31; In order to dissimilar antibacterials and the doctor of corresponding level are set up the antibacterials layered directory module 32 of corresponding sequence; In order to receive second communication module 33 of information acquisition module information; In order to low level physicianship checking and according to doctor's authority the request of licensing that module is determined its authority and received the low level doctor who does not have the prescription authority being set, and this being licensed high-level doctor that request sends to corresponding prescription authority confirm the authorization control module 34 of replying; Described first communication module 2 is connected by communication network with second communication module 33.
Further, the described request control module 12 of going beyond one's commission is networking client authentication unit and short-message verification unit.Certainly, also can adopt other modes to send request.
Further again, described information acquisition module 1, first communication module 2 are integrated in the same module.
In addition, for the clinician, carry information acquisition module, the information acquisition module that each doctor carries all is connected with server, described server has played the effect of integrated management control to the use of each antibacterials, the low level doctor who does not have corresponding antibacterials prescription authority opens this kind antibacterials prescription or doctor's advice if desired, can send the request of licensing to server in real time, server can in time be licensed this request and send to the high-level doctor with corresponding authority, and require this high-level doctor to confirm to reply, by the time after confirming to reply, low level doctor just is allowed to open this antibacterials.
In the present embodiment, server can adopt host computer to realize, each module of information acquisition module 1, first communication module 2 and server 3 all adopts the hardware circuit mode to realize;
Wherein, doctor's authority arranges module: the clinician is divided into rudimentary academic title (resident doctor), intermediate title (doctor in charge), high title (deputy director doctor, archiater).The doctor of different stage has the prescription authority of opening different antibacterials.This module comprises doctor's essential information, beyond section office, job number, name, academic title etc., and main doctors' at different levels outpatient service, emergency treatment, the antibacterials authority configuration information of being in hospital of also comprising.
Antibacterials layered directory module: mainly be the classification to clinical antibacterials, (one) " unrestricted use level " medicine: good effect, spinoff is little, cheap antibacterials.(2) " restriction use level " medicine: good effect but medicine expensive or that toxic and side effect is big, use need be given reasons.(3) " special use pharmaceutical grade ": good effect; expensive; still few at clinical datas such as special drug-fast bacteria or its curative effect of new listing antimicrobial or securities, or clinical needs extraordinarily protect in order to avoid the chemical sproof medicine of the too fast generation of bacterium, and use should have strict indication or conclusive foundation.
The correlation rule that doctor's authority arranges module and antibacterials layered directory module is: 1. unrestricted use level antibacterials: doctors at different levels all have prescription power, need by the rational use of medicines of various medicine idicatio.2. the level antibacterials are used in restriction: according to various places health administration department regulation, the inpatient is by intermediate title or have secondary high above senior professional and technical posts job requirements doctor prescription or doctor's advice.The door emergency case is by the above professional and technical posts job requirements doctor prescription of middle rank or doctor's advice.3. special use level antibacterials: according to various places health administration department regulation, the inpatient is by doctor's prescription or doctor's advice with high title or just senior professional and technical posts job requirements.The emergency treatment prescription must have the high title doctor to be opened.
Present embodiment information acquisition module: comprise the fingerprint collecting unit and the request control module of going beyond one's commission.Finger print acquisition module can be divided into two classes: the one, and pc client collection, the 2nd, network-side collection.The described request control module of going beyond one's commission is networking client authentication unit and short-message verification unit.
In the present embodiment, the antibacterials of control basic procedure license to(for) differentiated control higher level doctor is as follows:
1. do not have corresponding antibacterials prescription authority doctor and propose the medication request to the higher level doctor who has corresponding antibacterials prescription to open authority.
2. system accepts request, and makes corresponding judgement by server.
Situation one (conventional grading authorized): have higher level doctor that corresponding antibacterials prescription opens authority at the scene, doctor's personally identifiable information is gathered by finger print acquisition module by system.The information that system control module accepts to gather judges and verifies that information conforms is just passed through checking, and preserves this use information.Also can reach on-the-spot mandate by the own job number of higher level doctor's input in authorizing dialog box and password and open antibacterials.
Situation two (authorization 1 of bypassing the immediate leadership): have higher level doctor that corresponding antibacterials prescription opens authority not at the scene but this moment, he can be connected in the LAN (Local Area Network) of hospital, system can gather this doctor's finger print information by finger print acquisition module, is sent to control system through network then and judges and verify.
Situation three (authorization 2 of bypassing the immediate leadership): have higher level doctor that corresponding antibacterials prescription opens authority not at the scene simultaneously network be not communicated with yet, at this moment, system can retrieve corresponding phone number according to higher level doctor's job number that the corresponding antibacterials prescription of having of input is opened authority, can send short-message verification to this doctor then, short message content comprises (subordinate's user profile+patient's essential information+patient's state of an illness information+6 bit digital information of check code).Higher level doctor receives after this note, transmits 6 bit digital information of check code and gives the doctor of subordinate, and the doctor of subordinate imports 6 bit digital information of check code and passes through short-message verification later on.

Claims (3)

1. antibacterials doctor formula authority classification management control system, it is characterized in that: described control system comprises information acquisition module, first communication module and uses the server of control in order to realize bypassing the immediate leadership, described information acquisition module comprises in order to gather the request of the going beyond one's commission control module that doctor's fingerprint is realized the fingerprint collecting unit of authentication and comprised bypass the immediate leadership use request and affirmation return information in order to transmission, described fingerprint collecting unit, the request control module of going beyond one's commission all are connected with described first communication module, and described server comprises:
The doctor's authority that arranges in order to doctor and authority thereof to different stage arranges module;
In order to dissimilar antibacterials and the doctor of corresponding level are set up the antibacterials layered directory module of corresponding sequence;
In order to receive second communication module of information acquisition module information;
In order to low level physicianship checking and according to doctor's authority module is set and determines its authority and receive bypassing the immediate leadership of low level doctor to use request, and this is bypassed the immediate leadership use request to send to high-level doctor to confirm the control module of going beyond one's commission of replying;
Described first communication module is connected by communication network with second communication module.
2. antibacterials doctor formula authority classification management control system as claimed in claim 1 is characterized in that: the described request control module of going beyond one's commission is networking client authentication unit or short-message verification unit.
3. antibacterials doctor formula authority classification management control system as claimed in claim 1 or 2, it is characterized in that: described information acquisition module and first communication module are integrated in the same module.
CN2013101185532A 2013-04-07 2013-04-07 Level-to-level administration control system for permission of doctor's prescription to antibacterial agents Pending CN103235873A (en)

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CN104615904A (en) * 2015-02-28 2015-05-13 领智控股有限公司 Antibacterial medicament clinical application decision support system and constructing method thereof
CN107196896A (en) * 2016-12-30 2017-09-22 北京神州泰岳软件股份有限公司 Method for managing user right and device
CN109523403A (en) * 2018-10-27 2019-03-26 平安医疗健康管理股份有限公司 Medical supervision method, apparatus and terminal based on abnormal operation identification
CN112151140A (en) * 2020-11-25 2020-12-29 西藏自治区人民政府驻成都办事处医院 Antibacterial drug clinical application system, electronic device and computer readable storage medium

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104615904A (en) * 2015-02-28 2015-05-13 领智控股有限公司 Antibacterial medicament clinical application decision support system and constructing method thereof
CN104615904B (en) * 2015-02-28 2017-12-01 领智控股有限公司 Antibacterials clinical practice DSS and its construction method
CN107196896A (en) * 2016-12-30 2017-09-22 北京神州泰岳软件股份有限公司 Method for managing user right and device
CN109523403A (en) * 2018-10-27 2019-03-26 平安医疗健康管理股份有限公司 Medical supervision method, apparatus and terminal based on abnormal operation identification
CN109523403B (en) * 2018-10-27 2024-05-17 平安医疗健康管理股份有限公司 Medical supervision method, device and terminal based on abnormal operation identification
CN112151140A (en) * 2020-11-25 2020-12-29 西藏自治区人民政府驻成都办事处医院 Antibacterial drug clinical application system, electronic device and computer readable storage medium

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Application publication date: 20130807