CN104615904A - Antibacterial medicament clinical application decision support system and constructing method thereof - Google Patents
Antibacterial medicament clinical application decision support system and constructing method thereof Download PDFInfo
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Abstract
The invention discloses an antibacterial medicament clinical application decision support system. The system is characterized by comprising a storage device and an application module, wherein the storage device stores data, such as an identification library, basic information of a patient, disease diagnosis, an operation name, indexes, characteristics, process management and prevention medicaments; the application module communicates with the storage device, interacts with outside personnel, and indicates the outside personnel how to use an antibacterial medicament according to the data in the storage device. According to the antibacterial medicament clinical application decision support system disclosed by the invention, the storage device stores the basic information of a required medicament for the application module to call, so that the using situations of the antibacterial medicament can be effectively recorded, and the effect on limiting the use of the antibacterial medicament is also achieved; therefore, the problem of using the antibacterial medicament casually can be effectively avoided.
Description
Technical field
The present invention relates to a kind of medical system, relate to a kind of antibacterials clinical practice decision support system (DSS) and construction method thereof in particular.
Background technology
Bacterial drug resistance has become the serious public health problem in the whole world, and along with antibacterials widely using at medical treatment and other field, the drug resistance of bacterium is also in continuous enhancing.In recent years, the a lot of countries and regions comprising China continue to bring out " superbacteria " to nearly all antibiotic resistance, as general resistance Klebsiella Pneumoniae, Acinetobacter bauamnnii, pseudomonas aeruginosa, staphylococcus aureus etc., the mankind face the serious threat of infectious diseases again.The powerful selection pressure of antibacterials that the unreasonable use of antibacterials produces is that bacterial resistance occurs, the basic reason of development, China is the maximum country of antibacterials consumption, not only agricultural, animal husbandry account for more than 50% of global phase application quantity, medicinal use amount also accounts for more than 30% of the whole world, year consumption antibacterials amount about 138 grams per capita, and the U.S. is only 13 grams.Inpatient and Emergency call antibiotic use, Antibiogics usage intensity, operation patients prevention utilization rate is all far above world average level, Antibiogics usage intensity is more than the twice of American-European countries, operation patients prevention utilization rate reached more than 95% especially before 2011, therefore the fast development of bacterial drug resistance, China's medical profession is held the responsibility that can't be shirked, and the improvement of most hospitals antibacterials clinical practice index relies on short-term administrative decree, fine, the management of traditional approach is carried out in examination etc., seldom pass through science, specialized management, therefore be difficult to be able to Continual Improvement and long-acting management.Although through the focus efforts on special areas of a year and a half, but find from the special supervision and examination of national antibacterials clinical practice, a lot of tested examination in hospital score is less than 100 points (total score is 300 points), Drug utilization index inpatient utilization rate is still up to more than 70%, Antibiogics usage intensity is more than 80, nearly 100% Sterile surgery patient prevents to use antibacterials, and clinical abuse phenomenon is still general.
American-European countries's diagnosis and treatment specification is more perfect, infection Specialists training system is set up for a long time, infects diagnosis and treatment relative with Antibiogics usage level better.The rational use of medicines consciousness of clinician is also relatively strong, and the Non-medical factor affecting doctor's medicament selection is few, and therefore Antimicrobial uses the personal behavior mainly relying Yu doctor.The control measures that hospital takes mainly comprise intervenes and feeds back the prescription preliminary hearing combined, and medicine supply in hospitals catalogue limits two kinds of means.In addition, training and education, control measures such as formulation treatment guidelines and clinical path, antibacterials rotation use, antibacterials request slip etc. as a supplement, do not find the related documents implementing overall salary strategy management and clinical practice decision support safely and reliably.
Domestic there is no so far helps clinician to infect the clinical decision support means of diagnosis and treatment, the starting of antibacterials clinical practice standardized administration is also slower, although hygiene department has put into effect a series of file, but hospital management only rest on prescription side is examined in craft, medication manages afterwards, call to account and Data Collection statistical study etc., there is no the decision support etc. of the general management to doctor's medication process, the information-based measure guiding the how proper use of antibacterials of doctor, Infect And Diagnose and medicine for treatment so far.
In sum, more and more frequent at home along with the unreasonable use phenomenon of antibacterials, it is very necessary for proposing an effective and safe and reliable Antibiotics usage decision support system (DSS).
Summary of the invention
For the deficiency that prior art exists, the object of the present invention is to provide a kind of can effectively the antibacterials clinical practice decision support system (DSS) of specification Antibiogics usage and construction method thereof.
For achieving the above object, the invention provides following technical scheme:
A kind of antibacterials clinical practice decision support system (DSS), comprising:
Memory storage, stores data such as identifying storehouse, patient basis, medical diagnosis on disease, operation names, index, indication, process management, prophylactic;
Application module, with memory storage communication, and mutual with extraneous personnel, indicate extraneous personnel how to use antibacterials according to memory storage internal data.
By adopting technique scheme, just can effectively identification storehouse, patient basis, medical diagnosis on disease information, operation names, index, indication, procedure management information and prophylactic information effectively be stored by the setting of memory storage, just effectively can carry out the use-pattern that antibacterials are correctly effectively provided, if the phenomenon of present antibacterial unreasonable use so just effectively can be avoided according to the information of above-mentioned memory storage inside by the setting of application module simultaneously.
The present invention is set to further: described application module comprises:
Managerial decision module, formulates Antibiogics usage index, antimicrobial management grade;
Quality management module, with managerial decision module communication, carries out management and control to medicine for treatment, prophylactic, and carries out background audit;
Diagnosis and treatment process application module, with managerial decision module, quality management module and memory storage communication, from memory storage, extract the use-pattern of medicine for treatment, prophylactic treatment medication according to managerial decision module, and actual administration data is transferred to quality management module.
By adopting technique scheme, by the setting of managerial decision module, just effectively can formulate the clinical operating specification of antibacterials in decision support system (DSS), a specification is formulated to internal system, just can make effectively to the antibacterials of reality the effect being used as a supervision by the setting of quality management module, make it to meet the specification specified by managerial decision module, just can effectively the specification specified by leader's decision-making module be performed down timely and effectively by the setting of diagnosis and treatment process application module, effective real data can also be extracted for quality management module, so just can the use of effective specification antibacterials.
The present invention is set to further: described managerial decision module comprises:
Indicator analysis module, carries out index analysis to formulated Antibiogics usage index, sends data to diagnosis and treatment process application module after analysis;
Antibacterials differentiated control module, with memory storage and the communication of diagnosis and treatment process application module, for formulating Antibiogics usage grade and authority, determine diagnosis and treatment process application module can extract from memory storage medicine for treatment, prophylactic treatment medication use-pattern.
By adopting technique scheme, by the setting of indicator analysis module, just can to after the index analysis set by leader expert stored in system, by the setting of antibacterials differentiated control module, just can effectively limit the use doctor grade of antibacterials, so just effectively can avoid the problem of low-grade doctor's Domain of Abuse Antibiotics, avoid the problem that the antibacterials of hospital's entirety are abused further.
The present invention is set to further: described quality management module comprises:
Background audit module, with the communication of diagnosis and treatment process application module, audits the actual usage data of antibacterials;
Medicine for treatment monitoring module, with diagnosis and treatment process application module and background audit module communication, real-time reception actual therapeutic administration data also sends it to background audit module;
Prophylactic treatment medication monitoring module, with diagnosis and treatment process application module and background audit module communication, the actual prophylactic treatment administration data of real-time reception also sends it to background audit module.
By adopting technique scheme, by the setting of background audit module, just can effectively audit timely and effectively the Antibiogics usage of reality, contain the phenomenon of antibacterials abuse timely, pass through the setting of medicine for treatment monitoring module and prophylactic treatment medication monitoring module simultaneously, just can effectively go to instruct doctor's how go to use antibacterials over the course for the treatment of, how go meets the Drug utilization index specified by managerial decision module, just can the effectively use of specification antibacterials clinical time.
The present invention is set to further: described diagnosis and treatment process application module comprises:
Medicine for treatment module, with memory storage, the communication of medicine for treatment monitoring module, for extracting the use-pattern of medicine for treatment from memory storage, and to actual medicining condition carry out registration formed data transfer to medicine for treatment monitoring module;
Prophylactic treatment medication module, with memory storage, the communication of medicine for treatment monitoring module, for extracting the use-pattern of prophylactic treatment medication from memory storage, and to actual medicining condition carry out registration formed data transfer to medicine for treatment monitoring module.
By adopting technique scheme, by the setting of medicine for treatment module and prophylactic treatment medication module, just can effectively in the process of clinical application, according to the application of the index specification antibacterials set in system in clinical, can record the service condition of medicine timely and effectively after drug use is complete simultaneously, and these data are transferred to quality management module audit for quality management module.
The present invention is set to further: memory storage also can comprise a backup agent module, and this backup agent module can carry out backup operation based on the backup policy be associated with memory module and/or the data that store in memory module to memory module.
By adopting technique scheme, backup can be implemented to the data on memory storage, guaranteeing data security.
The present invention is set to further: memory storage also can comprise a backup management module, the data that this backup management module can not be associated with backup policy and/or backup operation in Automatic Logos memory module.
By adopting technique scheme, system of the present invention can be made to be applicable to store the situation of mass data, meanwhile, also can be applicable to the situation that memory storage comprises more than one memory module, to be convenient to expanding of system function.
The present invention is set to further: backup management module comprises mark component, Status of Backups mark component, backup policy processing element and backup management parts, wherein
Mark component is for the data identifying memory module and/or store;
Status of Backups mark component for the Status of Backups of the current backup state or memory module self of determining the data stored in memory module, this Status of Backups can indicate stored data and/or memory module whether interrelated with backup policy at present;
The data that backup policy processing element is used for one or more backup policy to be in non-Status of Backups with identified and/or memory module interrelated;
Backup management parts are used for implementing management to backup agent module, this management comprises: backup management parts are connected with backup agent module interface, if there is multiple backup agent module, then be connected with the plurality of backup agent module interface, these backup management parts can obtain the data produced by each backup agent module.
By adopting technique scheme, system of the present invention can stable operation, automatically carries out mark and the backup of super amount storage data, saves manpower, guarantees data security.
The present invention discloses following technical scheme on the other hand, and a kind of construction method of antibacterials clinical practice decision support system (DSS), comprises the steps:
(1) antibacterials clinical practice complete knowledge storehouse is set up;
(2) antibacterials doctor clinical practice Process of Information administration module is developed;
(3) set up and ensure that differentiated control system is implemented completely, workable differentiated control measure;
(4) Special use level antibacterials clinical practice management process is designed;
(5) antibacterial drug therapy medication decision support is set up;
(6) infection diagnosis and treatment " continue between examining religion platform " are created;
(7) medication is set up to monitor in real time and doctor's advice comment platform;
(8) background audit and INDEX MANAGEMENT platform is set up;
(9) data center and knowledge base distribution platform is created.
By adopting technique scheme, just on the basis of the underlying hardware of hospital, above-mentioned said antibacterials clinical practice decision support system (DSS) effectively can be built fast and effectively by the enforcement of above 9 steps.
Accompanying drawing explanation
Fig. 1 is the module map of antibacterials clinical practice decision support system (DSS) of the present invention;
Fig. 2 is the process flow diagram of the specific embodiment of the invention.
In figure: 1, memory storage; 2, application module; 21, managerial decision module; 211, indicator analysis module; 212, antibacterials differentiated control module; 22, quality management module; 221, background audit module; 222, medicine for treatment monitoring module; 223, prophylactic treatment medication monitoring module; 23, diagnosis and treatment process application module; 231, medicine for treatment module; 232, prophylactic treatment medication module.
Embodiment
With reference to shown in Fig. 1, a kind of antibacterials clinical practice decision support system (DSS) of the present embodiment, comprising:
Memory storage 1, preferably stores Various types of data, comprises one or several that identifies in storehouse, patient information, medical diagnosis on disease, treatment title, operation names, index, indication, process management, prophylactic, medicine for treatment and other relevant informations;
Application module 2, with memory storage 1 communication, and mutual with extraneous personnel, indicate extraneous personnel how to use antibacterials according to memory storage 1 internal data.
Wherein, the identification storehouse be stored in memory storage 1 such as can comprise Antibiogics usage rule and identify storehouse, comprising to the recommendation of special population such as dyshepatia patient, renal insufficiency patient, pregnant and lying-in women patient, susceptibility patient or resistance patient and the antibacterials information that prohibits the use.
Wherein, the patient information be stored in memory storage 1 can comprise patient basis, comprises age, sex, diagnosis, history of disease, family's history of disease, allergies etc.Preferably, patient information also can comprise occupational information, eating habit, exercise regime, drug administration situation, habits and customs (such as whether long-term alcohol or smoking), inhabitation geographic position etc.
This memory storage 1 can comprise memory module, and also can comprise the server coupled mutually with this memory module, this server can access the data be stored in memory module.This memory module can be the memory module based on magnetic, the memory module based on light, solid-state storage module or other suitable memory modules etc.The data that the request of data that this server such as can inquire application module 2 transmission from memory module is asked, and the data that the request of data inquired is asked are back to application module 2.By adopting technique scheme, when doctor needs to use antibacterials in clinical position time, first mutual with application module 2, need to use antibacterials instruction to application module 2 input, application module 2 is after receiving this instruction, will with memory storage 1 communication, preferably via above-mentioned server and memory storage 1 communication, first from memory storage 1, patient information is called, and then call out patient by the treatment title of acceptance or operation names, patient information and the index in treatment title or operation names and memory storage 1 and indication are compared simultaneously, after comparison by application module 2 outwardly personnel to be provided in this clinical position required antibacterials type, and the amount that antibacterials use, just effectively the type of the antibacterials used required in clinical position and quantity can be carried out Normalization rule by the setting of application module 2 and memory storage 1 like this, so just effectively can avoid the phenomenon of existing domestic hospitals antibacterials abuse in background technology.
In the present invention, in order to ensure the security of data, guarantee can recover data or data can be recovered from the time comparatively early after loss of data, memory storage of the present invention preferably can comprise a backup agent module, and this backup agent module can carry out backup operation based on the backup policy be associated with memory module and/or the data that store in memory module to memory module.This backup operation copies the data that memory module stores, to realize backup functionality.To it should be noted that on the above-mentioned server that this backup agent module can be present in memory storage 1 or individualism on memory storage 1.
More preferably, memory storage 1 of the present invention also can comprise a backup management module, only to back up the data be associated with backup policy different from alternate device in prior art, the data that this backup management module of the present invention can also not be associated with backup policy and/or backup operation in Automatic Logos memory module.Like this, memory storage 1 of the present invention, by Automatic Logos and backup policy and/or the unconnected data of backup operation, is particularly suitable for safe storage mass data, in the present invention, can plays the remarkable result of safety automation backup mass data.
In the present invention, this backup management module preferably can comprise mark component, Status of Backups mark component, backup policy processing element and backup management parts.Mark component is for the data identifying memory module and/or store.Multiple memory module can be there is in the present invention.Status of Backups mark component can determine the current backup state of the data stored in memory module or the Status of Backups of memory module self, and whether this Status of Backups can indicate stored data and/or memory module interrelated with backup policy at present.The data that backup policy processing element is used for one or more backup policy to be in non-Status of Backups with identified and/or memory module interrelated.The data that preferably this backup policy processing element can store from trend distribute backup policy, such as, the current backup policy distributing to class likelihood data are distributed to automatically the data of mark.Backup management parts can implement management to backup agent module, way to manage comprises: backup management parts are connected with backup agent module interface, if there is multiple backup agent module, then can be connected with the plurality of backup agent module interface, these backup management parts can obtain the data produced by each backup agent module.
In the present invention, above-mentioned backup management module can identify the current data not being backed up strategy association automatically, and automatically can identify the data that current and multiple backup operation is relevant, to have prevented data not to be backed up, and has data to be backed up repeatedly.The implementation of the current data not having backup policy to associate of automatic identification preferably includes: by contrast parts, the list of identifier of the identifier be associated with the data being associated at least one backup policy is contrasted with the first data; By determining means, determine that this list does not comprise the identifier relevant to above-mentioned first data.
Should note, " index " mentioned above refers to: doctor is in the process of writing a prescription to patient, ratio shared by antibacterials, and doctor is in the process for the treatment of patient, antibacterials are used to carry out the Proportion of patients for the treatment of, in the present invention, the input of index can be carried out by background maintenance input system.
" indication " mentioned above refers to patient's indication, generally includes the most one item missing in such as the following: heart rate, HRV, hear sounds, the data relevant to tachyarrhythmia event, breathing, hemodynamic stability, activity, treatment history etc. are used for comparing with the assay in later stage.
Below the course of work of above-mentioned application module 2 is described in further detail.Preferably, with reference to shown in Fig. 1, application module 2 also comprises managerial decision module 21, for formulating Antibiogics usage index, antimicrobial management grade; Quality management module 22, with managerial decision module communication, for carrying out management and control to medicine for treatment, prophylactic, and carries out background audit; Diagnosis and treatment process application module 23, with managerial decision module, quality management module and memory storage communication, from memory storage, extract the use-pattern of medicine for treatment, prophylactic according to managerial decision module, and actual administration data is transferred to quality management module 22.More preferably, above-mentioned application module 2 also can comprise instruction analysis module.
Above-mentioned instruction analysis module can receive external command, determining that through instruction analysis module performing this instruction needs from memory storage calling data, instruction analysis module generates corresponding data request information, the server coupled mutually with the memory module of memory storage 1 afterwards the memory location of asked data in described memory storage 1 according to the information inquiry of the data of asking of carrying in this request of data, and inquire access interface corresponding to described memory location, described request of data is sent to memory storage by this access interface, and the data that the request of data that transmission returns is asked.
If above-mentioned instruction analysis module determines that this external command needs to perform input in certain treatment clinical course and uses the operation of the index of antibacterials after analysis, then call managerial decision module 21, utilize managerial decision module 21 to use the index of antibacterials to system input.Then the information related to required for this clinical treatment is inputted to diagnosis and treatment process application module 23, diagnosis and treatment process application module 23 communicates with managerial decision module 21, from memory storage 1, antibacterials information required for this clinical treatment is called out (such as according to the indication stored in the index utilizing managerial decision module 21 to formulate and memory storage, type and quantity, recommend and forbidding, etc.).Wherein further, when the index of use antibacterials being stored into memory storage 1, the diagnosis and treatment process application module 23 that the present invention is above-mentioned and managerial decision module 21 carry out communication, the information related to required for this clinical treatment of input, patient information, operation names or treatment title is called from memory storage 1, patient information and operation names or treatment title are compared with the index in memory storage 1 and indication, the information such as the antibacterials type consumption required for recalling from memory storage after comparison in this clinical position.After doctor has treated, diagnosis and treatment process application module 23 can record the actual antibacterials type that uses and quantity, afterwards these data are transferred in quality management module 22, the index that quality management module 22 will be formulated according to managerial decision module 21 is audited, to judge whether the information of antibacterials meets index.
Below managerial decision module 21 referred to above, quality management module 22 and diagnosis and treatment process application module 23 course of work are described in further detail.
With reference to shown in Fig. 1, described managerial decision module 21 comprises: indicator analysis module 211, carries out index analysis, can send data to diagnosis and treatment process application module 23 after analysis to formulated Antibiogics usage index; Antibacterials differentiated control module 212, with memory storage and the communication of diagnosis and treatment process application module, for formulating Antibiogics usage grade and authority, determine diagnosis and treatment process application module can extract from memory storage medicine for treatment, prophylactic treatment medication use-pattern.When using the index of antibacterials to system input, first this index can be input in indicator analysis module 211, indicator analysis module 211 will be analyzed this index, just be input to afterwards in memory storage 1 and store, this analytic process can be such as, key feature is obtained to this index analysis, afterwards this key feature is stored in memory storage as the data associated with These parameters.By antibacterials differentiated control module 212 while input Drug utilization index, the medication level privileges of setting doctor, prevent the problem of low-grade doctor's Domain of Abuse Antibiotics, just effectively the Drug utilization index of leader expert can be input in system by the setting of indicator analysis module 211 and antibacterials differentiated control module 212 and to store, so just can effectively carry out antibacterials Drug utilization index, effectively prevent the problem that antibacterials are abused.
Preferably, the present invention's antibacterials differentiated control module 212 mentioned above preferably specifically can comprise doctor's priority assignation module and drug classification module, doctor's priority assignation module and drug classification module interrelated therebetween, particularly, doctor's priority assignation module installation authority of three ranks, one-level authority, secondary authority and three grades of authorities, doctor's authority of one-level authority is the highest, next be the doctor of secondary authority, doctor's authority of three grades of authorities is minimum.The drug classification module installation medicine of three ranks, general medicine, limiter stage medicine and specific drugs.Preferred doctor's priority assignation module with the rule that drug classification module associates therebetween is: the doctor of one-level authority can have prescription power to three kinds of medicines, the doctor of secondary authority has prescription power to general medicine and limiter stage medicine, and the doctor of three grades of authorities only has prescription power to general medicine.
Preferably, managerial decision module 21 of the present invention also can comprise special medication application module and approval module.In this embodiment comprising special medication application module and approval module, when the other doctor of relatively low level needs the antibacterials using non-level-right, file a request by special medication application module, this solicited message is sent to above-mentioned approval module by special medication application module, when approval module examination & approval show that this medication request is the result of rational use of medicines request, managerial decision module allows this medication request of this low level doctor.Such as, this doctor of permission, by rear, is outputed the dose of a day by a drug request examination & approval.
Equally as shown in Figure 1, described quality management module 22 comprises: background audit module 221, with diagnosis and treatment process application module 23 communication, audits the actual usage data of antibacterials; Medicine for treatment monitoring module 222, with diagnosis and treatment process application module 23 and background audit module 221 communication, real-time reception actual therapeutic administration data also sends it to background audit module; Prophylactic treatment medication monitoring module 223, with diagnosis and treatment process application module 23 and background audit module 221 communication, the actual prophylactic treatment administration data of real-time reception also sends it to background audit module.In the process using antibacterials, what diagnosis and treatment process application module 23 was real-time is input in medicine for treatment monitoring module 222 and prophylactic treatment medication monitoring module 223 by the service condition of antibacterials, then the antibiotics applied of reality will be input to background audit module 221 by medicine for treatment monitoring module 222 and prophylactic treatment medication monitoring module 223, examination & verification afterwards through background audit module 221 judges whether the use of these antibacterials meets index, so just effectively can reach the object of antibacterials quality management, the use of antibacterials of effective specification.
Shown in Fig. 1, described diagnosis and treatment process application module 23 comprises: medicine for treatment module 231, with memory storage 1, medicine for treatment monitoring module 222 communication, for extracting the use-pattern of medicine for treatment from memory storage 1, and to actual medicining condition carry out registration formed data transfer to medicine for treatment monitoring module 222; Prophylactic treatment medication module 232, with memory storage 1, the communication of prophylactic treatment medication monitoring module 222, for extracting the use-pattern of prophylactic treatment medication from memory storage, and to actual medicining condition carry out registration formed data transfer to medicine for treatment monitoring module.In the process of doctor's clinical treatment, medicine for treatment module 231 and prophylactic treatment medication module 232 first by server from memory storage 1 outwardly doctor type and the quantity of the antibacterials used required for this clinical treatment are provided, actual type of service and the quantity of antibacterials is recorded after doctor has treated, and these data are transferred to quality management module 22 for its examination & verification, so just effectively can carry out record effect to the actual service condition of antibacterials, the use of antibacterials of effective specification.
Preferably, the information that the above-mentioned diagnosis and treatment process application module 23 of the present invention can relate to required for this clinical treatment of input, patient information, operation names or disease name is called from memory storage 1, index in patient information and treatment title or operation names and memory storage 1 and indication are compared, after comparison by application module 2 outwardly personnel be provided in this clinical position required for antibacterials type consumption.
Enumerate instantiation flow process in the present embodiment as further explanation, due to accompanying drawing 2 complete representation, therefore do not repeating in the present embodiment.
The present embodiment additionally provides a kind of construction method of antibacterials clinical practice decision support system (DSS) on the other hand, comprises the steps:
(1) antibacterials clinical practice complete knowledge storehouse is set up;
(2) antibacterials doctor clinical practice Process of Information administration module is developed;
(3) set up and ensure that differentiated control system is implemented completely, workable differentiated control measure;
(4) Special use level antibacterials clinical practice management process is designed;
(5) antibacterial drug therapy medication decision support is set up;
(6) infection diagnosis and treatment " continue between examining religion platform " are created;
(7) medication is set up to monitor in real time and doctor's advice comment platform;
(8) background audit and INDEX MANAGEMENT platform is set up;
(9) data center and knowledge base distribution platform is created.
In sum, by the setting of application module 2 and memory storage 1, just effectively can make a standardization role to the use of the antibacterials in doctor's therapeutic process, the phenomenon not only can effectively avoiding antibacterials to abuse, reliable medication guide can also be provided to clinician.
The above is only the preferred embodiment of the present invention, protection scope of the present invention be not only confined to above-described embodiment, and all technical schemes belonged under thinking of the present invention all belong to protection scope of the present invention.It should be pointed out that for those skilled in the art, some improvements and modifications without departing from the principles of the present invention, these improvements and modifications also should be considered as protection scope of the present invention.
Claims (10)
1. an antibacterials clinical practice decision support system (DSS), comprising:
Memory storage, stores and identifies storehouse, patient information, medical diagnosis on disease, treatment title, operation names, index, indication, process management and prophylactic;
Application module, with memory storage communication, and mutual with extraneous personnel, for indicating extraneous personnel how to use antibacterials according to the internal data of memory storage.
2. antibacterials clinical practice decision support system (DSS) as claimed in claim 1, is characterized in that described application module comprises:
Managerial decision module, for formulating Antibiogics usage index, antimicrobial management grade;
Quality management module, with managerial decision module communication, for carrying out management and control to medicine for treatment, prophylactic, and carries out background audit;
Diagnosis and treatment process application module, with managerial decision module, quality management module and memory storage communication, extracts the use-pattern of medicine for treatment, prophylactic, and actual administration data is transferred to quality management module from memory storage according to managerial decision module.
3. antibacterials clinical practice decision support system (DSS) as claimed in claim 2, is characterized in that: described managerial decision module comprises:
Indicator analysis module, carries out index analysis to formulated Antibiogics usage index, sends data to diagnosis and treatment process application module after analysis;
Antibacterials differentiated control module, with memory storage and the communication of diagnosis and treatment process application module, for formulating Antibiogics usage grade and authority, determine diagnosis and treatment process application module can extract from memory storage medicine for treatment, prophylactic treatment medication use-pattern.
4. antibacterials clinical practice decision support system (DSS) as claimed in claim 3, it is characterized in that: described antibacterials differentiated control module comprises doctor's priority assignation module and drug classification module, the authority of doctor's priority assignation module installation three ranks, drug classification module arranges the medicine of three ranks accordingly, doctor's priority assignation module and drug classification module interrelated therebetween;
Described managerial decision module also comprises special medication application module, for proposing the antibacterials medication request of non-level-right, and auditing module, for auditing this medication request.
5. antibacterials clinical practice decision support system (DSS) as claimed in claim 4, is characterized in that: described quality management module comprises:
Background audit module, with the communication of diagnosis and treatment process application module, audits the actual usage data of antibacterials;
Medicine for treatment monitoring module, with diagnosis and treatment process application module and background audit module communication, real-time reception actual therapeutic administration data also sends it to background audit module;
Prophylactic treatment medication monitoring module, with diagnosis and treatment process application module and background audit module communication, the actual prophylactic treatment administration data of real-time reception also sends it to background audit module.
6. antibacterials clinical practice decision support system (DSS) according to claim 4, is characterized in that: described diagnosis and treatment process application module comprises:
Medicine for treatment module, with memory storage, the communication of medicine for treatment monitoring module, for extracting the use-pattern of medicine for treatment from memory storage, and to actual medicining condition carry out registration formed data transfer to medicine for treatment monitoring module;
Prophylactic treatment medication module, with memory storage, the communication of prophylactic treatment medication monitoring module, for extracting the use-pattern of prophylactic treatment medication from memory storage, and to actual medicining condition carry out registration formed data transfer to medicine for treatment monitoring module.
7. the antibacterials clinical practice decision support system (DSS) according to any one of claim 1-6, wherein memory storage also can comprise a backup agent module, and this backup agent module can carry out backup operation based on the backup policy be associated with memory module and/or the data that store in memory module to memory module.
8. antibacterials clinical practice decision support system (DSS) as claimed in claim 7, wherein said memory storage also can comprise a backup management module, the data that this backup management module can not be associated with backup policy and/or backup operation in Automatic Logos memory module.
9. antibacterials clinical practice strategy back-up system as claimed in claim 8, wherein this backup management module comprises mark component, Status of Backups mark component, backup policy processing element and backup management parts, wherein
Mark component is for the data identifying memory module and/or store;
Status of Backups mark component for the Status of Backups of the current backup state or memory module self of determining the data stored in memory module, this Status of Backups can indicate stored data and/or memory module whether interrelated with backup policy at present;
The data that backup policy processing element is used for one or more backup policy to be in non-Status of Backups with identified and/or memory module interrelated;
Backup management parts are used for implementing management to backup agent module, this management comprises: backup management parts are connected with backup agent module interface, if there is multiple backup agent module, then be connected with the plurality of backup agent module interface, these backup management parts can obtain the data produced by each backup agent module.
10. a construction method for antibacterials clinical practice decision support system (DSS), is characterized in that comprising the steps:
(1) antibacterials clinical practice complete knowledge storehouse is set up;
(2) antibacterials doctor clinical practice Process of Information administration module is developed;
(3) set up and ensure that differentiated control system is implemented completely, workable differentiated control measure;
(4) Special use level antibacterials clinical practice management process is designed;
(5) antibacterial drug therapy medication decision support is set up;
(6) infection diagnosis and treatment " continue between examining religion platform " are created;
(7) medication is set up to monitor in real time and doctor's advice comment platform;
(8) background audit and INDEX MANAGEMENT platform is set up;
(9) data center and knowledge base distribution platform is created.
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| CN105426661A (en) * | 2015-12-21 | 2016-03-23 | 叶霖 | Unplanned-second-operation information management method and management system |
| CN106295187A (en) * | 2016-08-11 | 2017-01-04 | 中国科学院计算技术研究所 | Construction of knowledge base method and system towards intelligent clinical auxiliary decision-making support system |
| CN107180156A (en) * | 2017-05-11 | 2017-09-19 | 杭州逸曜信息技术有限公司 | Medication information processing method |
| CN108766587A (en) * | 2018-05-11 | 2018-11-06 | 北京诺道认知医学科技有限公司 | A kind of method and device based on specific drug structure administration data library |
| CN109637619A (en) * | 2018-12-13 | 2019-04-16 | 平安医疗健康管理股份有限公司 | Recognition methods, device, server and the medium of antimicrobial behavior are issued in violation of rules and regulations |
| CN111161888A (en) * | 2019-11-25 | 2020-05-15 | 武汉瑞康永创科技发展有限公司 | Clinical decision support system for antibacterial drugs |
| CN111785395A (en) * | 2020-05-08 | 2020-10-16 | 四川大学华西第二医院 | Monitoring method, system, equipment and storage medium for clinical application of antibacterial drugs |
| CN112233745A (en) * | 2020-10-18 | 2021-01-15 | 曹庆恒 | Method, system and equipment for intelligently recommending antimicrobial drugs |
| CN112233744A (en) * | 2020-10-18 | 2021-01-15 | 曹庆恒 | Method, system and equipment for intelligently auditing antimicrobial drugs |
| CN113611397A (en) * | 2021-07-07 | 2021-11-05 | 新疆维吾尔自治区人民医院 | Special use-level antibacterial drug use management system and method |
| CN115312205A (en) * | 2022-10-11 | 2022-11-08 | 四川省医学科学院·四川省人民医院 | Single-disease clinical path management system |
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| CN106295187A (en) * | 2016-08-11 | 2017-01-04 | 中国科学院计算技术研究所 | Construction of knowledge base method and system towards intelligent clinical auxiliary decision-making support system |
| CN107180156A (en) * | 2017-05-11 | 2017-09-19 | 杭州逸曜信息技术有限公司 | Medication information processing method |
| CN108766587B (en) * | 2018-05-11 | 2022-05-03 | 北京诺道认知医学科技有限公司 | Method and device for constructing drug administration database based on specified drugs |
| CN108766587A (en) * | 2018-05-11 | 2018-11-06 | 北京诺道认知医学科技有限公司 | A kind of method and device based on specific drug structure administration data library |
| CN109637619A (en) * | 2018-12-13 | 2019-04-16 | 平安医疗健康管理股份有限公司 | Recognition methods, device, server and the medium of antimicrobial behavior are issued in violation of rules and regulations |
| CN111161888A (en) * | 2019-11-25 | 2020-05-15 | 武汉瑞康永创科技发展有限公司 | Clinical decision support system for antibacterial drugs |
| CN111785395A (en) * | 2020-05-08 | 2020-10-16 | 四川大学华西第二医院 | Monitoring method, system, equipment and storage medium for clinical application of antibacterial drugs |
| CN112233745A (en) * | 2020-10-18 | 2021-01-15 | 曹庆恒 | Method, system and equipment for intelligently recommending antimicrobial drugs |
| CN112233744A (en) * | 2020-10-18 | 2021-01-15 | 曹庆恒 | Method, system and equipment for intelligently auditing antimicrobial drugs |
| CN113611397A (en) * | 2021-07-07 | 2021-11-05 | 新疆维吾尔自治区人民医院 | Special use-level antibacterial drug use management system and method |
| CN115312205A (en) * | 2022-10-11 | 2022-11-08 | 四川省医学科学院·四川省人民医院 | Single-disease clinical path management system |
| CN115312205B (en) * | 2022-10-11 | 2022-12-20 | 四川省医学科学院·四川省人民医院 | Single-disease clinical path management system |
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