CN104615904B - Antibacterials clinical practice DSS and its construction method - Google Patents
Antibacterials clinical practice DSS and its construction method Download PDFInfo
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Abstract
The invention discloses a kind of antibacterials clinical practice DSS, it is characterised in that：Including：Storage device, it is stored with the data such as identification storehouse, patient basis, medical diagnosis on disease, operation names, index, indication, process management, prophylactic；Application module, communicate with storage device, and interacted with extraneous personnel, indicate how extraneous personnel use antibacterials according to storage device internal data.The antibacterials clinical practice DSS of the present invention, the essential information for needing medication is stored by storage device and called to application module, so the service condition of antibacterials just can be recorded effectively, also use to antibacterials simultaneously serves restriction effect, the problem of thus effectively antibacterials being avoided to abuse.
Description
Technical field
The present invention relates to a kind of medical system, more particularly to a kind of antibacterials clinical practice decision support system
System and its construction method.
Background technology
Bacterial drug resistance has turned into the serious public health problem in the whole world, as antibacterials are medical and other field
Widely use, the drug resistance of bacterium is also constantly strengthening.In recent years, many countries and regions including China continue to bring out
It is false single to " superbacteria " of nearly all antibiotic resistance, such as general resistance Klebsiella Pneumoniae, Acinetobacter bauamnnii, verdigris
Born of the same parents bacterium, staphylococcus aureus etc., the mankind are again confronted with the serious threat of infectious diseases.Unreasonable use of antibacterials is produced
The powerful selection pressure of raw antibacterials be bacterial resistance occur, development basic reason, China be antibacterials dosage most
Power, not only agricultural, animal husbandry account for more than the 50% of global phase application amount, medicinal usage amount also account for the 30% of the whole world with
On, year consumes 138 grams or so of antimicrobial object amount per capita, and the U.S. is only 13 grams.Inpatient and Emergency call Antibiogics usage
Rate, Antibiogics usage intensity, operation patients prevention utilization rate are far above world average level, and Antibiogics usage intensity is
More than twice of American-European countries, it was even more to reach more than 95%, therefore bacterial resistance before 2011 that operation patients, which prevent utilization rate,
The fast development of property, China's medical profession are held the responsibility that can't be shirked, and most hospital's antibacterials clinical practice indexs
Improvement is that the management of traditional approach is carried out by short-term administrative decree, fine, examination etc., is seldom by science, specialized pipe
Reason, therefore be difficult to be able to sustained improvement and long-acting management.Although having been subjected to the focus efforts on special areas of a year and a half, from national antibacterials
Clinical practice special project supervision and examination finds that much 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%, and more than 80, nearly 100% Sterile surgery patient prevents to use Antibiogics usage intensity
Antibacterials, clinic abuse phenomenon are still universal.
American-European countries's diagnosis and treatment specification is more perfect, infection Specialists training system is established for a long time, infects diagnosis and treatment and antimicrobial
Thing use level is relatively preferable.The rational use of medicines consciousness of clinician is also relatively strong, and influences the non-of doctor's medicament selection
Medical factor is few, therefore Antimicrobial uses the personal behavior for mainly relying Yu doctor.The control measures that hospital takes are main
Including intervening and feeding back the prescription preliminary hearing being combined, and medicine supply in hospitals catalogue limits two kinds of means.In addition, training and religion
Educate, work out treatment guidelines and clinical path, antibacterials rotation use, the control measures such as antibacterials request slip as supplement,
The relevant document for safely and reliably implementing overall salary strategy management and clinical practice decision support is not found.
The country there is no the clinical decision support means for helping clinician to infect diagnosis and treatment, antibacterials clinical practice rule so far
Also relatively late, although hygiene department has put into effect a series of files, the craft that hospital management only rests on prescription is examined for model management starting
Side, medication manage, called to account with Data Collection statistical analysis etc. afterwards, there is no the comprehensive management to doctor's medication process so far, draw
Guiding doctor's life how the decision support of the information-based measures of proper use of antibacterials, Infect And Diagnose and medicine for treatment etc..
In summary, at home with antibacterials it is unreasonable using phenomenon more and more frequently, propose one effectively and
Safe and reliable Antibiotics usage DSS is very necessary.
The content of the invention
In view of the deficienciess of the prior art, being capable of effective specification antibacterials it is an object of the invention to provide one kind
The antibacterials clinical practice DSS and its construction method used.
To achieve the above object, the invention provides following technical scheme：
A kind of antibacterials clinical practice DSS, including：
Storage device, it is stored with identification storehouse, patient basis, medical diagnosis on disease, operation names, index, indication, process pipe
The data such as reason, prophylactic；
Application module, communicate with storage device, and interacted with extraneous personnel, indicated according to storage device internal data outer
How boundary personnel use antibacterials.
By using above-mentioned technical proposal, it will effectively identify that storehouse, patient are basic by the setting can of storage device
Information, medical diagnosis on disease information, operation names, index, indication, procedure management information and prophylactic information effectively store
Come, while effectively correctly effectively carried according to the information inside above-mentioned storage device by the setting can of application module
For the occupation mode of antibacterials, if thus can effectively avoid the unreasonable phenomenon used of present antibacterial.
The present invention is further arranged to：The application module includes：
Managerial decision module, formulate Antibiogics usage index, antimicrobial management grade；
Quality management module, with managerial decision module communication, management and control is carried out to medicine for treatment, prophylactic, and after progress
Platform is audited；
Diagnosis and treatment process application module, communicated with managerial decision module, quality management module and storage device, according to leader
Decision-making module extracts medicine for treatment, the occupation mode of prophylactic treatment medication from storage device, and actual administration data is transmitted
To quality management module.
By using above-mentioned technical proposal, pass through the setting of managerial decision module, it is possible to effectively to decision support system
The clinical operating specification of an antibacterials is formulated in system, a specification is formulated to internal system, passes through quality management module
Set use of the can effectively to the antibacterials of reality to do the effect of a supervision, be allowed to meet managerial decision module institute
The specification specified, by the setting can of diagnosis and treatment process application module effectively by the specification specified by leader's decision-making module and
When it is effective perform, can also be that quality management module extract effective real data, thus can effectively advise
The use of model antibacterials.
The present invention is further arranged to：The managerial decision module includes：
Indicator analysis module, index analysis is carried out to the Antibiogics usage index formulated, by data transfer after analysis
To diagnosis and treatment process application module；
Antibacterials differentiated control module, communicated with storage device and diagnosis and treatment process application module, for formulating antimicrobial
Thing service rating and authority, to determine medicine for treatment, prevention that diagnosis and treatment process application module can extract from storage device
The occupation mode of medicine for treatment.
By using above-mentioned technical proposal, pass through the setting of indicator analysis module, it is possible to set by leader expert
System is stored in after index analysis, passes through the setting of antibacterials differentiated control module, it is possible to effectively antibacterials are made
Limited with doctor's grade, the problem of thus can effectively avoiding doctor's Domain of Abuse Antibiotics of inferior grade, further
The problem of avoiding the overall antibacterials of hospital from abusing.
The present invention is further arranged to：The quality management module includes：
Background audit module, communicated with diagnosis and treatment process application module, antibacterials actual use data are audited；
Medicine for treatment monitoring module, with diagnosis and treatment process application module and background audit module communication, real-time reception is actual to be controlled
Treat administration data and send it to background audit module；
Prophylactic treatment medication monitoring module, it is real with diagnosis and treatment process application module and background audit module communication, real-time reception
Border prophylactic treatment administration data simultaneously sends it to background audit module.
By using above-mentioned technical proposal, pass through the setting of background audit module, it is possible to effectively to the antibacterial of reality
Medicine timely contains the phenomenon of antibacterials abuse using timely and effectively being audited, while is monitored by medicine for treatment
The setting of module and prophylactic treatment medication monitoring module, over the course for the treatment of can effectively go to instruct doctor how go make
With antibacterials, how go meet the Drug utilization index specified by managerial decision module, it is possible to effective specification antibacterials
Use in clinic.
The present invention is further arranged to：The diagnosis and treatment process application module includes：
Medicine for treatment module, communicated with storage device, medicine for treatment monitoring module, for extracting treatment from storage device
The occupation mode of medication, and registration is carried out to actual medicining condition and forms data transfer to medicine for treatment monitoring module；
Prophylactic treatment medication module, communicated with storage device, medicine for treatment monitoring module, for being extracted from storage device
The occupation mode of prophylactic treatment medication, and registration is carried out to actual medicining condition and forms data transfer to medicine for treatment monitoring mould
Block.
By using above-mentioned technical proposal, pass through the setting of medicine for treatment module and prophylactic treatment medication module, it is possible to
Effectively during clinical application, according to application of the index specification antibacterials set in system in clinic, simultaneously
In medicine using timely and effectively being recorded to the service condition of medicine after complete, and by this data transfer to matter
Amount management module is audited for quality management module.
The present invention is further arranged to：Storage device may also include a backup agent module, and the backup agent module can
Backup behaviour is carried out to memory module based on the associated backup policy of the data stored with memory module and/or in memory module
Make.
By using above-mentioned technical proposal, backup can be implemented to the data on storage device, it is ensured that data safety.
The present invention is further arranged to：Storage device may also include a backup management module, and the backup management module can
Not data associated with backup policy and/or backup operation in automatic mark memory module.
By using above-mentioned technical proposal, the system of the present invention can be caused to be applied to the situation of storage mass data, meanwhile,
Also can be suitably used for storage device includes the situation of more than one memory module, is easy to expanding of system function.
The present invention is further arranged to：Backup management module includes mark component, Status of Backups mark component, backup policy
Processing component and backup management part, wherein
Mark component is used for the data for identifying memory module and/or being stored；
Status of Backups mark component is used for current backup state or the storage for the data that determination stores in memory module
The Status of Backups of module itself, the Status of Backups can indicate stored data and/or memory module at present whether with backup
Strategy is interrelated；
Backup policy processing component is used for one or more backup policy with being identified the number in the state that is not backed up
According to and/or memory module it is interrelated；
Backup management part is used to backup agent module is implemented to manage, and the management includes：Backup management part and backup
Proxy module interface connects, if multiple backup agent modules be present, is connected with the plurality of backup agent module interface, the backup
Management part can obtain the data as caused by each backup agent module.
By using above-mentioned technical proposal, system of the invention can stable operation, automatically carry out super amount storage
The mark of data and backup, save manpower, it is ensured that data safety.
Another aspect of the present invention discloses following technical scheme, a kind of structure of antibacterials clinical practice DSS
Construction method, comprise the following steps：
（1）Establish antibacterials clinical practice complete knowledge storehouse；
（2）Develop antibacterials doctor's clinical practice Process of Information management module；
（3）Set up ensure differentiated control system implement completely, workable differentiated control measure；
（4）Design Special use level antibacterials clinical practice management process；
（5）Set up antibacterial drug therapy medication decision support；
（6）Create infection diagnosis and treatment " after religion platform between examining "；
（7）Set up medication monitoring in real time and doctor's advice comment platform；
（8）Establish background audit and INDEX MANAGEMENT platform；
（9）Create data center and knowledge base distribution platform.
By using above-mentioned technical proposal, the implementation can of 9 steps is effectively hard on the basis of hospital more than
Above-mentioned described antibacterials clinical practice DSS is fast and effectively built on the basis of part.
Brief description of the drawings
Fig. 1 is the module map of the antibacterials clinical practice DSS of the present invention；
Fig. 2 is the flow chart of the specific embodiment of the invention.
In figure：1st, storage device；2nd, application module；21st, managerial decision module；211st, indicator analysis module；212nd, antibacterial
Drug classification management module；22nd, quality management module；221st, background audit module；222nd, medicine for treatment monitoring module；223rd, it is pre-
Anti- medicine for treatment monitoring module；23rd, diagnosis and treatment process application module；231st, medicine for treatment module；232nd, prophylactic treatment medication module.
Embodiment
Shown in reference picture 1, a kind of antibacterials clinical practice DSS of the present embodiment, including：
Storage device 1, preferably it is stored with Various types of data, including identification storehouse, patient information, medical diagnosis on disease, treatment title, hand
One or several in art title, index, indication, process management, prophylactic, medicine for treatment and other relevant informations；
Application module 2, communicate with storage device 1, and interacted with extraneous personnel, referred to according to the internal data of storage device 1
Show how extraneous personnel use antibacterials.
Wherein, the identification storehouse being stored in storage device 1 for example may include Antibiogics usage rule identification storehouse, wherein wrapping
Include to special population such as dyshepatia patient, potential renal insufficiency patient, pregnant and lying-in women patient, susceptibility patient or resistance patient
Recommendation and the antibacterials information that prohibits the use of.
Wherein, the patient information being stored in storage device 1 may include patient basis, including age, sex, examine
Disconnected, history of disease, family's history of disease, allergies etc..Preferably, patient information may also comprise occupational information, eating habit, temper feelings
Condition, drug administration situation, habits and customs（Such as whether long-term alcohol or smoking）, inhabitation geographical position etc..
The storage device 1 may include memory module, may also include the server mutually coupled with the memory module, the service
Device is able to access that the data being stored in memory module.The memory module can be the memory module based on magnetic, depositing based on light
Store up module, solid-state storage module or other suitable memory modules etc..The server can for example inquire from memory module should
The data that the request of data sent with module 2 is asked, and the data that the request of data inquired is asked are back to application
Module 2.By using above-mentioned technical proposal, when doctor needs to use antibacterials in clinical position, first with
Application module 2 interacts, and needs to use antibacterials to instruct to the input of application module 2, application module 2 instructs it receiving this
Afterwards, it will be communicated with storage device 1, communicate preferably via above-mentioned server and storage device 1, adjusted first from storage device 1
With patient information, patient is then recalled out by the treatment title or operation names of receiving, while by patient information and treatment
Title or operation names are compared with the index in storage device 1 and indication, outside by application module 2 after comparison
Boundary personnel provide the antibacterials type required in the clinical position, and are measured used in antibacterials, so pass through
The setting can of application module 2 and storage device 1 is effectively by the type of the required antibacterials used in clinical position
Normalization rule is carried out with quantity, thus can effectively avoid existing domestic hospitals antibacterials abuse in background technology
Phenomenon.
In the present invention, in order to ensure the security of data, it is ensured that data can be recovered after loss of data or can
Recover data from the time earlier, storage device of the invention preferably may include a backup agent module, the backup agent module
Memory module can be carried out based on the data stored with memory module and/or in memory module associated backup policy standby
Part operation.The backup operation replicates to the data stored in memory module, to realize backup functionality.It should be noted that the backup
Proxy module may be present on the above-mentioned server of storage device 1 or the individualism on storage device 1.
It is highly preferred that the storage device 1 of the present invention may also include a backup management module, with alternate device in the prior art
Only backup is different from the data that backup policy is associated, and the backup management module of the invention can also identify memory module automatically
Inside not data associated with backup policy and/or backup operation.So, storage device 1 of the invention by identify automatically with
Backup policy and/or the unconnected data of backup operation, are particularly suitable for storing mass data safely, in the present invention it is possible to
Play the remarkable result of safety automation backup mass data.
In the present invention, the backup management module preferably may include mark component, Status of Backups mark component, at backup policy
Manage part and backup management part.Mark component is used for the data for identifying memory module and/or being stored.It may be present in the present invention
Multiple memory modules.Status of Backups mark component can determine that the current backup state of the data stored in memory module or deposit
Store up the Status of Backups of module itself, the Status of Backups can indicate stored data and/or memory module at present whether with it is standby
Part strategy is interrelated.Backup policy processing component is used to one or more backup policy being not backed up shape with being identified being in
The data and/or memory module of state are interrelated.It is preferred that the backup policy processing component can be from the data distribution that trend is stored
Backup policy, for example, the backup policy for being currently assigned to similar data to be automatically assigned to the data of mark.Backup management part
Backup agent module can be implemented to manage, way to manage includes：Backup management part is connected with backup agent module interface, if
Multiple backup agent modules be present, then can be connected with the plurality of backup agent module interface, the backup management part can obtain by
Data caused by each backup agent module.
In the present invention, above-mentioned backup management module can automatic identification currently without be backed up strategy association data, and
And can automatic identification data currently related to multiple backup operations, to have prevented data not to be backed up, and have data standby
Part is repeatedly.The implementation for the data that automatic identification associates currently without backup policy preferably includes：, will be with by contrasting part
The list of the identifier of data of the associated identifier of first data with being associated at least one backup policy contrasts；Pass through
Part is determined, determines that the list does not include the identifier related to above-mentioned first data.
It should be noted that " index " described above refers to：Doctor to patient during writing a prescription, shared by antibacterials
Ratio, and doctor is during patient is treated, the Proportion of patients treated using antibacterials, can be with the present invention
Enter the input of row index by background maintenance input system.
" indication " described above refers to patient's indication, generally includes the most one item missing in such as the following：Heart rate,
HRV, heart sound, the data related to tachyarrhythmia event, breathing, hemodynamic stability, activity, control
History etc. is treated to be used for being compared with the assay in later stage.
The course of work of above-mentioned application module 2 is described in further detail below.Preferably, shown in reference picture 1, application
Module 2 also includes managerial decision module 21, for formulating Antibiogics usage index, antimicrobial management grade；Quality management
Module 22, and managerial decision module communication, for carrying out management and control to medicine for treatment, prophylactic, and carrying out background audit；Diagnosis and treatment
Process application module 23, with managerial decision module, quality management module and storage device communicate, according to managerial decision module from
Medicine for treatment, the occupation mode of prophylactic are extracted in storage device, and actual administration data is transmitted to quality management module
22.It is highly preferred that above-mentioned application module 2 may also include instruction analysis module.
Above-mentioned instruction analysis module can receive external command, by instruction analysis module determine perform the instruction need from
When storage device calls data, instruction analysis module generates corresponding data request information, afterwards with the storage mould of storage device 1
The server that block mutually couples goes out asked data according to the information inquiry of the data asked carried in the request of data and existed
Storage location in the storage device 1, and inquire access interface corresponding to the storage location, by the access interface to
Storage device sends the request of data, and the data that the request of data for sending return is asked.
If above-mentioned instruction analysis module determines that the external command needs to perform in certain treatment clinical course after analysis
Middle input then calls managerial decision module 21 using the operation of the index of antibacterials, using managerial decision module 21 to system
Input uses the index of antibacterials.Then the letter that is related to is inputted required for this clinical treatment to diagnosis and treatment process application module 23
Breath, diagnosis and treatment process application module 23 are communicated with managerial decision module 21, according to the finger formulated using managerial decision module 21
The indication stored in mark and storage device calls out the antibacterials information required for this clinical treatment from storage device 1
（For example, type and quantity, recommendation and disabling, etc.）.Wherein further, will be stored using the index of antibacterials
In the case of storage device 1, the above-mentioned diagnosis and treatment process application module 23 of the present invention is communicated with managerial decision module 21, root
According to the information being related to required for this clinical treatment of input, patient information, operation names or treatment are called from storage device 1
Title, patient information and operation names or treatment title are compared with the index in storage device 1 and indication, compare it
The information such as the antibacterials type dosage required for being recalled afterwards from storage device in the clinical position.Treat and complete in doctor
Afterwards, diagnosis and treatment process application module 23 can record antibacterials type and quantity used in reality, afterwards by the data transfer
Into quality management module 22, quality management module 22 will be examined according to the index that managerial decision module 21 is formulated
Core, to judge whether the information of antibacterials meets index.
Below to managerial decision module 21 referred to above, quality management module 22 and the work of diagnosis and treatment process application module 23
It is described in further detail as process.
Shown in reference picture 1, the managerial decision module 21 includes：Indicator analysis module 211, to the antibacterials formulated
Service index carries out index analysis, and diagnosis and treatment process application module 23 can be sent data to after analysis；Antibacterials differentiated control
Module 212, communicate with storage device and diagnosis and treatment process application module, for formulating Antibiogics usage grade and authority, come true
Determine medicine for treatment, the occupation mode of prophylactic treatment medication that diagnosis and treatment process application module can extract from storage device.
When using the index of antibacterials to system input, the index can be input in indicator analysis module 211 first, index point
Analysis module 211 will be analyzed the index, be just input in storage device 1 and store afterwards, and the analysis process for example can be with
It is the index to be analyzed to obtain key feature, is deposited afterwards using the key feature as the data associated with These parameters
Store up in storage device.The use of doctor by antibacterials differentiated control module 212, can be set while Drug utilization index is inputted
Medicine level privileges, the problem of preventing doctor's Domain of Abuse Antibiotics of inferior grade, pass through indicator analysis module 211 and antibacterials point
The Drug utilization index of leader expert is effectively input in system and stored by the setting can of level management module 212, this
Sample can effectively carries out antibacterials Drug utilization index, the problem of effectively preventing antibacterials from abusing.
Preferably, present invention antibacterials differentiated control module 212 described above preferably may particularly include doctor's authority
Setup module and drug classification module, doctor's priority assignation module and drug classification module are interrelated therebetween, specifically,
Doctor's priority assignation module is provided with the authority of three ranks, one-level authority, two level authority and three-level authority, the doctor of one-level authority
Teacher's authority highest, followed by the doctor of two level authority, doctor's authority of three-level authority is minimum.Drug classification module is provided with three
The medicine of individual rank, general medicine, limiter stage medicine and specific drugs.It is preferred that doctor's priority assignation module and drug classification module
Therebetween the rule associated is：The doctor of one-level authority can have prescription power, the doctor couple of two level authority to three kinds of medicines
General medicine and limiter stage medicine have prescription power, and the doctor of three-level authority only has prescription power to general medicine.
Preferably, managerial decision module 21 of the invention may also include special medication application module and approval module.Wrapping
In the embodiment for including special medication application module and approval module, when relatively low rank doctor needs to use non-level-right
Antibacterials when, can be filed a request by special medication application module, the solicited message is sent by special medication application module
To above-mentioned approval module, when drawing the result that medication request is asked for the rational use of medicines through approval module examination ＆ approval, managerial decision mould
Block allows low level doctor this medication request.For example, after a drug request examination ＆ approval pass through, the doctor will be allowed to output one
It dose.
Also shown in FIG. 1, the quality management module 22 includes：Background audit module 221, with diagnosis and treatment process application mould
Block 23 is communicated, and antibacterials actual use data are audited；Medicine for treatment monitoring module 222, with diagnosis and treatment process application mould
Block 23 and background audit module 221 communicate, and real-time reception actual therapeutic administration data simultaneously sends it to background audit module；In advance
Anti- medicine for treatment monitoring module 223, is communicated with diagnosis and treatment process application module 23 and background audit module 221, and real-time reception is actual
Prophylactic treatment administration data simultaneously sends it to background audit module.During using antibacterials, diagnosis and treatment process application
The service condition of antibacterials is input into medicine for treatment monitoring module 222 in real time for module 23 and prophylactic treatment medication monitors mould
In block 223, then medicine for treatment monitoring module 222 and prophylactic treatment medication monitoring module 223 will be by the antibacterials of reality
Service condition is input to background audit module 221, judges this antibacterials by the examination ＆ verification of background audit module 221 afterwards
Using whether index is met, it can thus be effectively accomplished the purpose of antibacterials quality management, effective specification antibacterial
The use of medicine.
Referring again to shown in Fig. 1, the diagnosis and treatment process application module 23 includes：Medicine for treatment module 231, with storage device
1st, medicine for treatment monitoring module 222 communicates, for extracting the occupation mode of medicine for treatment from storage device 1, and to actual use
Medicine situation carries out registration and forms data transfer to medicine for treatment monitoring module 222；Prophylactic treatment medication module 232, filled with storage
1, prophylactic treatment medication monitoring module 222 is put to communicate, for extracting the occupation mode of prophylactic treatment medication from storage device, and
Registration is carried out to actual medicining condition and forms data transfer to medicine for treatment monitoring module.During doctor's clinical treatment,
By server, from storage device 1, outwardly doctor provides this first for medicine for treatment module 231 and prophylactic treatment medication module 232
The type and quantity of the antibacterials used required for secondary clinical treatment, antibacterials are recorded after the completion of doctor treats
Type and quantity are actually used, and by the data transfer to quality management module 22 for its examination ＆ verification, thus can be effectively right
The actual use situation of antibacterials carries out record effect, the use of antibacterials of effective specification.
Preferably, the above-mentioned diagnosis and treatment process application module 23 of the present invention can relate to according to required for this clinical treatment of input
And information, call patient information, operation names or disease name from storage device 1, by patient information and treatment title or
Person's operation names are compared with the index in storage device 1 and indication, are passing through the outwardly personnel of application module 2 after comparison
Antibacterials type dosage required in the clinical position is provided.
Instantiation flow is enumerated in the present embodiment as being explained further, due to the complete representation of accompanying drawing 2, therefore at this
Do not repeated in embodiment.
On the other hand the present embodiment additionally provides a kind of construction method of antibacterials clinical practice DSS, wrap
Include following steps：
（1）Establish antibacterials clinical practice complete knowledge storehouse；
（2）Develop antibacterials doctor's clinical practice Process of Information management module；
（3）Set up ensure differentiated control system implement completely, workable differentiated control measure；
（4）Design Special use level antibacterials clinical practice management process；
（5）Set up antibacterial drug therapy medication decision support；
（6）Create infection diagnosis and treatment " after religion platform between examining "；
（7）Set up medication monitoring in real time and doctor's advice comment platform；
（8）Establish background audit and INDEX MANAGEMENT platform；
（9）Create data center and knowledge base distribution platform.
In summary, the setting of application module 2 and storage device 1 is passed through, it is possible to effectively in doctor's therapeutic process
The uses of antibacterials make a standardization role, can not only be effectively prevented from the phenomenon of antibacterials abuse, moreover it is possible to give
Clinician provides reliable medication guide.
Described above is only the preferred embodiment of the present invention, and protection scope of the present invention is not limited merely to above-mentioned implementation
Example, all technical schemes belonged under thinking of the present invention belong to protection scope of the present invention.It should be pointed out that for the art
Those of ordinary skill for, some improvements and modifications without departing from the principles of the present invention, these improvements and modifications
It should be regarded as protection scope of the present invention.
Claims (6)
1. a kind of antibacterials clinical practice DSS, including：
Storage device, it is stored with identification storehouse, patient information, medical diagnosis on disease, treatment title, operation names, index, indication, process
Management and prophylactic, wherein identification storehouse includes Antibiogics usage rule identification storehouse, including to suffering from comprising dyshepatia
Person, potential renal insufficiency patient, pregnant and lying-in women patient, susceptibility patient or resistance patient special population recommendation and prohibit the use of anti-
Bacterium drug information, index refer to：During being write a prescription to patient, the ratio shared by antibacterials, and doctor's doctor exist
During treating patient, the Proportion of patients treated using antibacterials enters row index by background maintenance input system
Input, indication refers to patient's indication, including the most one item missing in the following：Heart rate, HRV, heart sound, with it is fast
The related data of speed arrhythmic events, breathing, hemodynamic stability, activity, treatment history, for the inspection with the later stage
As a result it is compared；
Application module, communicate with storage device, and interacted with extraneous personnel, indicated for the internal data according to storage device
How extraneous personnel use antibacterials,
Wherein, the application module includes：
Managerial decision module, for formulating Antibiogics usage index, antimicrobial management grade；
Quality management module, and managerial decision module communication, for carrying out management and control to medicine for treatment, prophylactic, and after carrying out
Platform is audited, specifically, the index formulated according to managerial decision module is audited, to judge whether the information of antibacterials accords with
Close index；
Diagnosis and treatment process application module, communicated with managerial decision module, quality management module and storage device, according to managerial decision
Module extracts medicine for treatment, the occupation mode of prophylactic from storage device, and actual administration data is transmitted to quality pipe
Manage module,
Wherein, storage device also includes a backup agent module, the backup agent module can be based on memory module and/or
The backup policy that the data stored in memory module are associated carries out backup operation, and a backup management mould to memory module
Block, the backup management module can identify in memory module the not data associated with backup policy and/or backup operation automatically,
The backup management module includes mark component, Status of Backups mark component, backup policy processing component and backup management part, its
In, mark component is used for the data for identifying memory module and/or being stored；Status of Backups mark component is used to determine in storage mould
The current backup state or memory module of the data stored on block the Status of Backups of itself, the Status of Backups can indicate to be deposited
Whether the data and/or memory module of storage are interrelated with backup policy at present；Backup policy processing component be used for by one or
Multiple backup policy and the data and/or memory module that are identified being in the state that is not backed up are interrelated；Backup management part
For implementing to manage to backup agent module, the management includes：Backup management part is connected with backup agent module interface, if depositing
In multiple backup agent modules, then it is connected with the plurality of backup agent module interface, the backup management part can be obtained by every
Data caused by individual backup agent module.
2. antibacterials clinical practice DSS as claimed in claim 1, it is characterised in that：The managerial decision mould
Block includes：
Indicator analysis module, index analysis is carried out to the Antibiogics usage index formulated, sends data to and examines after analysis
Treatment process application module；
Antibacterials differentiated control module, communicate with storage device and diagnosis and treatment process application module, make for formulating antibacterials
With grade and authority, to determine medicine for treatment, prophylactic treatment that diagnosis and treatment process application module can extract from storage device
The occupation mode of medication.
3. antibacterials clinical practice DSS as claimed in claim 2, it is characterised in that：The antibacterials point
Level management module includes doctor's priority assignation module and drug classification module, and doctor's priority assignation module sets the power of three ranks
Limit, drug classification module accordingly set three ranks medicine, both doctor's priority assignation module and drug classification module it
Between it is interrelated；
The managerial decision module also includes special medication application module, for proposing the antibacterials medication of non-level-right
Request, and auditing module, for being audited to medication request.
4. antibacterials clinical practice DSS as claimed in claim 3, it is characterised in that：The quality management mould
Block includes：
Background audit module, communicated with diagnosis and treatment process application module, antibacterials actual use data are audited；
Medicine for treatment monitoring module, with diagnosis and treatment process application module and background audit module communication, real-time reception actual therapeutic is used
Medicine data simultaneously send it to background audit module；
Prophylactic treatment medication monitoring module, it is actually pre- with diagnosis and treatment process application module and background audit module communication, real-time reception
Anti- treatment administration data simultaneously sends it to background audit module.
5. antibacterials clinical practice DSS according to claim 3, it is characterised in that：The diagnosis and treatment process
Application module includes：
Medicine for treatment module, communicated with storage device, medicine for treatment monitoring module, for extracting medicine for treatment from storage device
Occupation mode, and registration is carried out to actual medicining condition and forms data transfer to medicine for treatment monitoring module；
Prophylactic treatment medication module, communicated with storage device, prophylactic treatment medication monitoring module, for being extracted from storage device
The occupation mode of prophylactic treatment medication, and registration is carried out to actual medicining condition and forms data transfer to medicine for treatment monitoring mould
Block.
6. a kind of construction method of antibacterials clinical practice DSS, it is characterised in that comprise the following steps：
（1）Antibacterials clinical practice DSS is established in exploitation, and the system specifically includes：
Storage device, it is stored with identification storehouse, patient information, medical diagnosis on disease, treatment title, operation names, index, indication, process
Management and prophylactic, wherein identification storehouse include Antibiogics usage rule identification storehouse, including to comprising dyshepatia patient,
Potential renal insufficiency patient, pregnant and lying-in women patient, the recommendation of susceptibility patient or the special population of resistance patient and the antibacterial that prohibits the use of
Drug information, index refer to：During being write a prescription to patient, the ratio shared by antibacterials, and doctor are controlling doctor
During treating patient, the Proportion of patients treated using antibacterials enters row index by background maintenance input system
Input, indication refer to patient's indication, including the most one item missing in the following：Heart rate, HRV, heart sound, with it is quick
Property arrhythmic events related data, breathing, hemodynamic stability, activity, treatment history, for the inspection knot with the later stage
Fruit is compared；
Application module, communicate with storage device, and interacted with extraneous personnel, indicated for the internal data according to storage device
How extraneous personnel use antibacterials,
Wherein, the application module includes：Managerial decision module, for formulating Antibiogics usage index, antimicrobial management
Grade；Quality management module, and managerial decision module communication, for carrying out management and control to medicine for treatment, prophylactic, and after carrying out
Platform is audited, specifically, the index formulated according to managerial decision module is audited, to judge whether the information of antibacterials accords with
Close index；Diagnosis and treatment process application module, communicated with managerial decision module, quality management module and storage device, according to leader
Decision-making module extracts medicine for treatment, the occupation mode of prophylactic from storage device, and actual administration data is transmitted to matter
Measure management module；
（2）Create infection diagnosis and treatment " after religion platform between examining "；
（3）Set up medication monitoring in real time and doctor's advice comment platform；
（4）Data center and knowledge base distribution platform are created, wherein
Storage device also includes a backup agent module, and the backup agent module can be based on memory module and/or store
The backup policy that the data stored in module are associated carries out backup operation, and a backup management module to memory module, should
Backup management module can identify in memory module the not data associated with backup policy and/or backup operation automatically, and this is standby
Part management module includes mark component, Status of Backups mark component, backup policy processing component and backup management part, wherein,
Mark component is used for the data for identifying memory module and/or being stored；Status of Backups mark component is used to determine in memory module
The current backup state or memory module of the data of upper the storage Status of Backups of itself, the Status of Backups can indicate to be stored
Data and/or memory module at present it is whether interrelated with backup policy；Backup policy processing component is used for one or more
Individual backup policy and the data and/or memory module that are identified being in the state that is not backed up are interrelated；Backup management part is used
In implementing to manage to backup agent module, the management includes：Backup management part is connected with backup agent module interface, if in the presence of
Multiple backup agent modules, then it is connected with the plurality of backup agent module interface, the backup management part can be obtained by each
Data caused by backup agent module.
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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 |
| 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 |
| CN111785395B (en) * | 2020-05-08 | 2022-09-09 | 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 |
| 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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