CN108010566A - The preposition auditing system of Medication order in hospital - Google Patents
The preposition auditing system of Medication order in hospital Download PDFInfo
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- CN108010566A CN108010566A CN201711230730.0A CN201711230730A CN108010566A CN 108010566 A CN108010566 A CN 108010566A CN 201711230730 A CN201711230730 A CN 201711230730A CN 108010566 A CN108010566 A CN 108010566A
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q50/00—Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
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Abstract
The invention discloses a kind of preposition auditing system of Medication order of being in hospital, it is related to medical system field.Including：Doctor terminal Medication order auditing module, Medication order blocking module, the preposition auditing module of pharmacist, instant messaging module, audits configuration module, Medication order comment module of being in hospital, pharmacist's dispensing end auditing module, statistical module.The present invention is preposition by pharmacist's examination, and such as system audit is unreasonable after doctor's typing Medication order, then must be revised as rational use of medicines doctor's advice or can be outputed after pharmacist's examination ＆ verification passes through.The present invention can audit medication reasonability when doctor issues Medication order, and Irrational Use of Drugs doctor's advice is intercepted in time, and doctor and pharmacist can carry out real-time communication by system, and auditing rational Medication order through pharmacist just allows to output.The present invention has been obviously improved the security of clinical application, improves pharmacist's review efficiency, and patient medication safety is ensured from source, reduces the generation of conflict between doctors and patients.
Description
Technical field
The present invention relates to medical system technical field, the more particularly to a kind of preposition auditing system of Medication order and side of being in hospital
Method.
Background technology
The medication of safe and reasonable is the focus of domestic and international medical personnel's common concern, and medical institutions' generally use adds at present
Strong Checking prescription and the mode commented on afterwards improve Prescription quality, but Prescription comment is post-project evaluating, and the side of prescription is audited in outpatient service
Again since many reasons have inevitably been omitted, the Ministry of Public Health enacts and enforces formula《Prescription Administrative Policy》After require medical institutions to establish
The comment of prescription, fills in clinical prescription evaluation table, prescription,irrational is registered, and is effectively intervened, need to be by pharmacist
To audit the suitability of Medication order, but the prescription of domestic most hospitals is with doctor's advice workflow：Out-patient Electronic Prescription is first
Charge, is then sent out by pharmacist's core, and flow scheme design is not inconsistent with real work requirement；Meanwhile the examination for Medication order of being in hospital
Be subject to examine prescription teacher professional standards are uneven etc. that factor is limited, especially gerontal patient and High risk group are not conformed to
Reason medication still lacks effective intervention means, causes adverse drug reaction event to happen occasionally, and Checking prescription instrument rationally should
With can effectively find Irrational Use of Drugs and potential drug safety hidden danger in prescription/doctor's advice, undertake and prescription guarantor is audited by pharmacist
Hinder the main body responsibility of patient medication safety.
The content of the invention
(1) technical problems to be solved
The technical problem to be solved in the present invention is：How a kind of preposition auditing system of Medication order of being in hospital is provided, can cured
Raw confirmation audits Medication order reasonability before issuing Medication order, so that Irrational Use of Drugs doctor's advice be intercepted in time.
(2) technical solution
In order to solve the above technical problems, the present invention provides a kind of preposition auditing system of Medication order of being in hospital, it includes：
Doctor terminal Medication order auditing module：For being audited to the reasonability of doctor's Medication order, and prompt its institute
Open Medication order and whether there is Irrational Use of Drugs；
Medication order blocking module：Intercepted for auditing Irrational Use of Drugs doctor's advice to system and pharmacist, avoid not conforming to
Reason Medication order is outputed；
The preposition auditing module of pharmacist：The Irrational Use of Drugs doctor's advice that doctor submits manually is examined for preposition examination ＆ verification pharmacist
Core, and feed back auditing result；
Instant messaging module：For doctor and the online real-time communication of pharmacist；
Audit configuration module：For configuring preposition examination ＆ verification section office, examination ＆ verification lesion, examination ＆ verification medicine, examination ＆ verification project, examination ＆ verification medicine
Teacher, pharmacist are responsible for scope, time-out time；
The module of Medication order comment in hospital：The reasonability for Medication order of being in hospital is commented on for pharmacist, and is prompted
Institute's Medication order whether there is Irrational Use of Drugs situation；
Pharmacist's dispensing end auditing module：The reasonability of Medication order is audited for dispensing pharmacist, and medicine taking prompting
Doctor's advice whether there is Irrational Use of Drugs situation；
Statistical module：For Irrational Use of Drugs doctor's advice number, Medication order qualification rate, the medicine to full institute, each section office and doctor
Teacher's examination amount etc. is counted.
A) the doctor terminal Medication order auditing module described in, further comprises：
Can automatic identification Medication order, descriptive diagnosis and every Medication order content, with reference to patient age, weight, body
Height, body surface area, allergies, whether gestation, whether lactation, whether the physiologic information such as hepatic and kidney function obstacle, CrCl, kidney
Biochemical indicator, Medication order reasonability of being in hospital to it such as bead filtration filter are audited.Review scope includes：
Idicatio suitability is audited：For automatic identification hospital tailored diagnostics, to Medication order idicatio suitability into
Row examination ＆ verification, and auditing result is preserved in the database；
Method of administration suitability is audited：Whether the method for administration for auditing Medication order is suitable, and auditing result is protected
Deposit in the database；
Administration frequency suitability is audited：It is whether suitable for auditing Medication order administration frequency, and auditing result is preserved
In the database；
Dosing interval suitability is audited：It is whether suitable for auditing Medication order dosing interval, and auditing result is preserved
In the database；
Single dosage suitability is audited：It is whether suitable for auditing Medication order single-dose amount, and by auditing result
Preserve in the database；
Odd-numbered day dosage suitability is audited：It is whether suitable for auditing Medication order odd-numbered day dosage, and by auditing result
Preserve in the database；
Accumulative dosage suitability examination ＆ verification：Whether for auditing Medication order, to add up dosage suitable, and by auditing result
Preserve in the database；
Continuous use number of days suitability is audited：It is whether suitable for auditing Medication order continuous use number of days, and will examination ＆ verification
As a result preserve in the database；
Across section office Rational drug use examination ＆ verifications：It is whether suitable for auditing across section office Medication orders, and auditing result is preserved
In the database；
Children avoid suitability examination ＆ verification：It is not suitable for situation with the presence or absence of medicine is selected for auditing child patient, and will examines
Core result preserves in the database；
The elderly avoids suitability examination ＆ verification：It is not suitable for situation with the presence or absence of medicine is selected for auditing gerontal patient, and incites somebody to action
Auditing result preserves in the database；
Pregnant and lactant women taboo examination ＆ verification：Avoided for auditing Pregnant and lactant women patient with the presence or absence of medication
Situation, and auditing result is preserved in the database；
Hepatic and kidney function obstacle patient avoids examination ＆ verification：For auditing hepatic and kidney function obstacle patient with the presence or absence of medication taboo feelings
Condition, and auditing result is preserved in the database；
Contraindication is audited：For that will be examined with the presence or absence of medication taboo situation according to diagnosis and patient's biochemical indicator, examination ＆ verification
Core result preserves in the database；
Allergy taboo examination ＆ verification：It whether there is allergy risk for auditing Medication order according to patient of hypersensitivity's history, and will examination ＆ verification
As a result preserve in the database；
Pain medication is audited：It is whether suitable for auditing its pain medication according to the Pain Grading of patient, and will examination ＆ verification knot
Fruit preserves in the database；
Interaction examination ＆ verification：For auditing situation of the Medication order with the presence or absence of interaction, and auditing result is preserved
In the database；
Repeated drug taking is audited：It whether there is the situation of repeated drug taking for auditing Medication order, and auditing result preserved
In the database；
Incompatibility is audited：It whether there is the situation of incompatibility for auditing Medication order, and auditing result preserved
In the database；
Solvent suitability is audited：For audit Medication order with the presence or absence of solvent selection be not suitable for, solvent concentration is not suitable for,
The unfavorable situation of solvent dosage, and auditing result is preserved in the database.
B) the Medication order blocking module described in, further comprises：
It is connected with hospital HIS system, after doctor issues Medication order, if system audits unreasonable, the system automatically
Feeding back to HIS systems does not allow to output Medication order.Doctor can change Medication order at this time, or after filling in reason, submit to
Pharmacist is audited.If pharmacist audits, Medication order is reasonable, and doctor can continue to issue Medication order；If pharmacist audits
There are medication errors in doctor's Medication order, then doctor can just output after must changing Medication order；If pharmacist audits doctor
For Medication order there are Irrational Use of Drugs, then doctor is optionally connected is changed Medication order, or refusal pharmacist's opinion by pharmacist's opinion,
Medication order is outputed after double signatures；If pharmacist's examination ＆ verification time-out, or pharmacist be not on duty, then doctor can directly issue medication doctor
Advise.
C) the preposition auditing module of pharmacist described in, further comprises：
Pharmacist sets state on duty, when pharmacist is on duty, system meeting real-time reception to the responsible lesion of pharmacist institute or section office
Doctor submit Irrational Use of Drugs doctor's advice.Pharmacist can view doctor submission Medication order content, system audit result and
The reasons why doctor fills in.Pharmacist judges whether the application that doctor submits allows by if pharmacist allows by feeding back to doctor
Life can issue Medication order；As pharmacist does not allow by the way that can then feed back to doctor does not allow to issue Medication order；If pharmacist
Think medication errors, then can stringent control system intercept problems Medication order output.Pharmacist's audit time can be set by system
Put, if pharmacist's audit time exceeds preset time, system is automatically fed to doctor and audits time-out, it is allowed to which doctor outputs medication
Doctor's advice.
D) the instant messaging module described in, further comprises：Linked up immediately online with pharmacist for doctor.Both sides are equal
It can be seen that the full detail of patient medication doctor's advice, system audit result and the relevant information of doctor and pharmacist, including：Patient last name
Name, gender, age, weight, height, allergies, affiliated special population, diagnosis, biochemical investigation index, medicine information, usage are used
Lesion, physician names, affiliated section office, careful prescription's teacher name, time of writing a prescription, audit time, system audit where measuring information, patient
As a result, pharmacist's audit time and result, physician feedback result, doctor's history remark information, pharmacist's history remark information etc..
E) the examination ＆ verification configuration module described in, further comprises：For to section office, lesion, medicine, examination ＆ verification item, pharmacist, pharmacist
It is responsible for scope, time-out time carries out every configuration.Mainly include：
Audit section office's configuration：Preposition examination ＆ verification is participated in for configuring which section office.Participating in the section office of preposition examination ＆ verification will abide by
The specification and process requirements for following preposition examination ＆ verification issue Medication order.
Audit lesion configuration：Preposition examination ＆ verification is participated in for configuring which lesion.Participating in the lesion of preposition examination ＆ verification will abide by
The specification and process requirements for following preposition examination ＆ verification issue Medication order.
Audit Pharmaceutical setting：Medicine is audited automatically for configuring system.The medicine system not configured will not be to it
Reasonability is audited, and is defaulted as it and is used rationally.
Audit project configuration：For configuring system audit project.The project system not configured will not be reasonable to its
Property is audited, and it is reasonable to give tacit consent to the examination ＆ verification item.Examination ＆ verification item can be refine on each medicine.
Audit pharmacist's configuration：It is responsible for preposition examination for configuring which pharmacist.The pharmacist for participating in preposition examination ＆ verification will
Receive the system preliminary hearing Irrational Use of Drugs doctor's advice of doctor's transmission.
Pharmacist's review scope configures：For configuring pharmacist is responsible for which lesion or the preposition examination of which section office.Medicine
During Shi Gang, it will receive it and be responsible for lesion and the Medication order of section office.
Audit time-out time：Medication order time-out time is audited for configuring pharmacist.If pharmacist is being set in the time not
Medication order examination is completed, then automatic feedback doctor is allowed to issue Medication order by system.
F) the Medication order comment module of being in hospital described in, further comprises：Medication doctor during pharmacist can check patient in hospital
Advise, electronic health record, inspection result, system audit result and preposition pharmacist's auditing result.Time-out is audited for preposition examination ＆ verification pharmacist
Or the Irrational Use of Drugs doctor's advice not on duty passed through, pharmacist can be commented on again, and comment result is passed into dispensing end.
G) pharmacist's dispensing end auditing module described in, further comprises：Dispensing pharmacist can view patient medication doctor's advice
All the elements, system audit result and preposition pharmacist's auditing result.It is overtime or not on duty pass through for preposition examination ＆ verification pharmacist examination ＆ verification
Irrational Use of Drugs doctor's advice, dispensing pharmacist do it is secondary intercept refusal dispensing, and notify doctor.
H) statistical module described in, further comprises：Every content in preposition review process can be counted, wrapped
Include：
The unreasonable quantity of doctor's Medication order and ratio：For per diem, the moon statistics per doctor system audit it is unreasonable
Medication order quantity and ratio, pharmacist audit Irrational Use of Drugs doctor's advice quantity and ratio.
Doctor actively changes Medication order quantity and ratio：For per diem, the moon statistics doctor actively repaiied after system prompt
Change the quantity and ratio of Medication order.The unreasonable quantity of section office's Medication order and ratio：For per diem, count each section office by the moon be
System examination ＆ verification Irrational Use of Drugs doctor's advice quantity and ratio, pharmacist audit Irrational Use of Drugs doctor's advice quantity and ratio.
The unreasonable quantity of full institute Medication order and ratio：For per diem, count the system audit Irrational Use of Drugs of full institute the moon
Doctor's advice quantity and ratio, pharmacist audit Irrational Use of Drugs doctor's advice quantity and ratio.
Pharmacist audits Medication order amount：For per diem, count every pharmacist the moon and audit Medication order quantity.
(3) beneficial effect
The preposition auditing system of Medication order of being in hospital of the present invention, can close Medication order when doctor issues Medication order
Rationality is audited, and Irrational Use of Drugs doctor's advice is intercepted in time, and doctor and pharmacist can carry out real-time communication by system, through pharmacist
Auditing rational Medication order just allows to output.The present invention has been obviously improved the security of clinical application, improves pharmacist's examination ＆ verification
Medication order efficiency, patient medication safety is ensured from source, reduces the generation of conflict between doctors and patients.
Brief description of the drawings
Fig. 1 is in hospital the preposition auditing system module architectures of Medication order, the preposition auditing flow of Fig. 2 Medication orders.
Embodiment
Below in conjunction with Figure of description, clear, complete description is carried out to the specific implementation technical solution of the present invention.With
Lower embodiment is used to illustrate the present invention, but is not limited to the scope of the present invention.
1st, the preposition auditing system framework of Medication order is in hospital as shown in Figure 1, the module includes：Doctor terminal Medication order is examined
Core module, Medication order blocking module, the preposition auditing module of pharmacist, instant messaging module, examination ＆ verification configuration module, medication of being in hospital are cured
Advise comment module, pharmacist's dispensing end auditing module, statistical module.
Doctor issues Medication order in doctor workstation, and before confirming that Medication order is outputed, doctor workstation cures medication
To advise and be delivered to doctor terminal Medication order auditing module, doctor terminal Medication order auditing module audits doctor's Medication order,
And auditing result is subjected to Real-time Feedback.
If the examination ＆ verification of doctor terminal Medication order auditing module is unreasonable, by Medication order blocking module, doctor is intercepted
Irrational Use of Drugs doctor's advice is outputed.Doctor can change Medication order and resubmit at this time, or will not conformed to by instant messaging module
Reason Medication order passes to preposition examination ＆ verification pharmacist and is audited.
Preposition examination ＆ verification pharmacist receives the Irrational Use of Drugs doctor's advice of doctor's submission by instant messaging module, is manually sentenced
It is disconnected, and pass through instant messaging module feedback auditing result.Auditing result is divided into " reasonable ", " unreasonable " and " medication errors ".
The Medication order of " medication errors " is judged for preposition examination ＆ verification pharmacist, Medication order blocking module will intercept medication doctor
Advise and output；The Medication order of " reasonable " is judged for preposition examination ＆ verification pharmacist, will allow to output；Judge for preposition examination ＆ verification pharmacist
The Medication order of " unreasonable ", doctor may choose whether to receive pharmacist's auditing result.If selected " receiving ", doctor repaiies again
Change Medication order and submit again, if selection " refusal ", doctor need to carry out double signatures and output Medication order.
Pharmacist can comment on Medication order, electronic health record, inspection during module checks patient in hospital by Medication order of being in hospital
As a result, system audit result and preposition pharmacist's auditing result.It is overtime or not on duty pass through not for preposition examination ＆ verification pharmacist examination ＆ verification
Rational use of medicines doctor's advice, pharmacist can be commented on again, and comment result is passed to dispensing end.
Dispensing pharmacist can view all the elements of patient medication doctor's advice, system is examined by pharmacist's dispensing end auditing module
Core result and preposition pharmacist's auditing result.The Irrational Use of Drugs overtime or not on duty passed through is audited for preposition examination ＆ verification pharmacist to cure
Advise, dispensing pharmacist does secondary intercept and refuses dispensing, and notifies doctor.
Doctor terminal Medication order auditing module, the preposition auditing module of pharmacist, Medication order comment module of being in hospital and pharmacist's hair
Medicine end auditing module need to connect pharmaceutical knowledge storehouse and carry out automatic decision to Medication order reasonability.
Doctor terminal Medication order auditing module, the preposition auditing module of pharmacist, Medication order comment module of being in hospital and pharmacist's hair
Medicine end auditing module configures the examination ＆ verification section office in examination ＆ verification configuration module, examination ＆ verification lesion configures, audits Pharmaceutical setting, examination ＆ verification
Project configuration, examination ＆ verification pharmacist configuration, the configuration of pharmacist's review scope, examination ＆ verification time-out time judge whether Medication order participates in preposition examine
Whether core, Medication order should audit time-out, Medication order blocking module by who preposition examination ＆ verification pharmacist examination ＆ verification, preposition examination ＆ verification pharmacist
Whether the Medication order is intercepted automatically.
Statistical module will obtain doctor terminal Medication order auditing module, the preposition auditing module of pharmacist automatically, be in hospital medication doctor
Comment module, every Medication order msu message of pharmacist's dispensing end auditing module are advised, carries out the unreasonable number of doctor's Medication order
Amount and ration statistics, doctor actively change Medication order quantity and ration statistics, the unreasonable quantity of section office's Medication order and ratio
Statistics, the unreasonable quantity of full institute's Medication order and ration statistics, pharmacist audit Medication order amount statistics.
2nd, the preposition auditing flow of Medication order is as shown in Figure 2：
(1) doctor issues Medication order, is audited by the preposition auditing system of Medication order of being in hospital.As system audit closes
Reason, Medication order enter recombination.
(2) if system audit is unreasonable, modification Medication order may be selected in doctor, preposition again through Medication order in hospital
Auditing system is audited.As doctor adheres to issuing Medication order, Irrational Use of Drugs doctor's advice can be sent by system and is examined to preposition
Core pharmacist.
(3) it is preposition to audit pharmacist's reception system examination Irrational Use of Drugs doctor's advice and do not audit Medication order, and medication is cured
Reasonability is advised to be audited.Such as pharmacist's examination ＆ verification rationally, pharmacist signs electronically on electronics Medication order, into lower one stream
Journey.
(4) if preposition examination ＆ verification pharmacist examination ＆ verification Medication order is unreasonable, it is proposed that doctor changes or issue again medication doctor
Advise, as doctor disagrees modification, the double signatures of doctor, pharmacist performs record to include Medication order comment.
(5) if preposition examination ＆ verification pharmacist audits Medication order there are medication errors, it is rejected by allocating, and inform doctor.
(6) pharmacist can carry out Medication order of being in hospital reasonability comment, and comment result is recorded in systems.
(7) dispensing pharmacist can view all the elements of patient medication doctor's advice, system audit result and preposition pharmacist examination ＆ verification
As a result.The Irrational Use of Drugs doctor's advice overtime or not on duty passed through is audited for preposition examination ＆ verification pharmacist, dispensing pharmacist does secondary interception
Refuse dispensing, and notify doctor.
Claims (9)
- The preposition auditing system of Medication order 1. one kind is in hospital, it is characterised in that：Including doctor terminal Medication order auditing module, medication Doctor's advice circulation control module, the preposition auditing module of pharmacist, instant messaging module, examination ＆ verification configuration module, Medication order comment of being in hospital Module, pharmacist's dispensing end auditing module, statistical module, wherein：Doctor terminal Medication order auditing module：For being audited to the reasonability of doctor's Medication order, and it is prompted to open use Medicine doctor's advice whether there is Irrational Use of Drugs；Medication order blocking module：Intercepted for auditing Irrational Use of Drugs doctor's advice to system and pharmacist, avoid unreasonable use Medicine doctor's advice is outputed；The preposition auditing module of pharmacist：The Irrational Use of Drugs doctor's advice submitted for preposition examination ＆ verification pharmacist to doctor carries out manual examination and verification, And feed back auditing result；Instant messaging module：For doctor and the online real-time communication of pharmacist；Audit configuration module：For configuring preposition examination ＆ verification section office, examination ＆ verification lesion, examination ＆ verification medicine, examination ＆ verification project, examination ＆ verification pharmacist, medicine Teacher is responsible for scope, time-out time；The module of Medication order comment in hospital：The reasonability for Medication order of being in hospital is commented on for pharmacist, and prompts to be in hospital and uses Medicine doctor's advice whether there is Irrational Use of Drugs situation；Pharmacist's dispensing end auditing module：The reasonability of Medication order is audited for dispensing pharmacist, and medicine taking prompting doctor's advice With the presence or absence of Irrational Use of Drugs situation；Statistical module：For Irrational Use of Drugs doctor's advice number, Medication order qualification rate, the Yao Shishen to full institute, each section office and doctor Core workload etc. is counted.
- 2. doctor terminal Medication order auditing module according to claim 1, it is characterised in that：Can automatic identification doctor's advice medicine Product, descriptive diagnosis and every Medication order content, with reference to patient age, weight, height, body surface area, allergies, whether pregnant Be pregnent, whether lactation, whether the biochemical indicator such as the physiologic information such as hepatic and kidney function obstacle, CrCl, glomerular filtration filter, to it Medication order reasonability is audited in hospital.Review scope includes：Idicatio suitability is audited：For automatic identification hospital tailored diagnostics, Medication order idicatio suitability is examined Core, and auditing result is preserved in the database；Method of administration suitability is audited：Whether the method for administration for auditing Medication order is suitable, and auditing result is stored in In database；Administration frequency suitability is audited：It is whether suitable for auditing Medication order administration frequency, and auditing result is stored in number According in storehouse；Dosing interval suitability is audited：It is whether suitable for auditing Medication order dosing interval, and auditing result is stored in number According in storehouse；Single dosage suitability is audited：It is whether suitable for auditing Medication order single-dose amount, and auditing result is preserved In the database；Odd-numbered day dosage suitability is audited：It is whether suitable for auditing Medication order odd-numbered day dosage, and auditing result is preserved In the database；Accumulative dosage suitability examination ＆ verification：Whether for auditing Medication order, to add up dosage suitable, and auditing result is preserved In the database；Continuous use number of days suitability is audited：It is whether suitable for auditing Medication order continuous use number of days, and by auditing result Preserve in the database；Across section office Rational drug use examination ＆ verifications：It is whether suitable for auditing across section office Medication orders, and examination ＆ verification is tied Fruit preserves in the database；Children avoid suitability examination ＆ verification：It is not suitable for situation with the presence or absence of medicine is selected for auditing child patient, and examination ＆ verification is tied Fruit preserves in the database；The elderly avoids suitability examination ＆ verification：It is not suitable for for auditing gerontal patient with the presence or absence of selecting medicine Situation, and auditing result is preserved in the database；Pregnant and lactant women taboo examination ＆ verification：For auditing pregnant woman and nursing period Women patient preserves auditing result in the database with the presence or absence of medication taboo situation；Hepatic and kidney function obstacle patient avoids examination ＆ verification：For auditing hepatic and kidney function obstacle patient with the presence or absence of medication taboo situation, and Auditing result is preserved in the database；Contraindication is audited：For examination ＆ verification to be tied with the presence or absence of medication taboo situation according to diagnosis and patient's biochemical indicator, examination ＆ verification Fruit preserves in the database；Allergy taboo examination ＆ verification：It whether there is allergy risk for auditing Medication order according to patient of hypersensitivity's history, And auditing result is preserved in the database；Pain medication is audited：For auditing its pain medication according to the Pain Grading of patient It is whether suitable, and auditing result is preserved in the database；Interaction examination ＆ verification：For auditing situation of the Medication order with the presence or absence of interaction, and auditing result is stored in number According in storehouse；Repeated drug taking is audited：It whether there is the situation of repeated drug taking for auditing Medication order, and auditing result be stored in number According in storehouse；Incompatibility is audited：It whether there is the situation of incompatibility for auditing Medication order, and auditing result be stored in In database；Solvent suitability is audited：For auditing Medication order with the presence or absence of solvent selection is not suitable for, solvent concentration is not suitable for, solvent The unfavorable situation of dosage, and auditing result is preserved in the database.
- 3. Medication order blocking module according to claim 1, it is characterised in that：It is connected with hospital HIS system, Yi Shengkai After having Medication order, if system is audited unreasonable automatically, the system, which feeds back to HIS systems, not to be allowed to output Medication order, Doctor can change Medication order at this time, or after filling in reason, submit to pharmacist and audited；If pharmacist audits Medication order Rationally, then doctor can continue to issue Medication order；If pharmacist is audited in doctor's Medication order, there are medication errors, doctor It can just be outputed after Medication order must be changed；If pharmacist audits doctor's Medication order, there are Irrational Use of Drugs, doctor are optional Select and receive pharmacist's opinion modification Medication order, or refusal pharmacist's opinion, output Medication order after double signatures；If pharmacist audits Time-out, or pharmacist be not on duty, then doctor can directly issue Medication order.
- 4. the preposition auditing module of pharmacist according to claim 1, it is characterised in that：Pharmacist sets state on duty, works as pharmacist When on duty, system can real-time reception to the pharmacist responsible lesion or section office doctor's submission Irrational Use of Drugs doctor's advice；Pharmacist The reasons why Medication order content, system audit result and the doctor that doctor submits fill in can be viewed；Pharmacist judges that doctor submits Application whether allow by if pharmacist allows by the way that Medication order can be issued by feeding back to doctor；As pharmacist does not allow By the way that can then feed back to doctor does not allow to issue Medication order；If pharmacist thinks medication errors, can stringent control system block Problem Medication order is cut to output；Pharmacist's audit time can be configured by system, if pharmacist's audit time exceeds preset time, Then system is automatically fed to doctor and audits time-out, it is allowed to which doctor outputs Medication order.
- 5. instant messaging module according to claim 1, it is characterised in that：Instant ditch is carried out online for doctor and pharmacist Logical, the full detail of patient medication doctor's advice, system audit result and the relevant information of doctor and pharmacist can be seen in both sides, bag Include：Patient's name, gender, age, weight, height, allergies, affiliated special population, diagnosis, biochemical investigation index, medicine letter Where breath, usage and dosage information, patient when lesion, physician names, affiliated section office, careful prescription's teacher name, time of writing a prescription, examination ＆ verification Between, system audit result, pharmacist's audit time and result, physician feedback result, doctor's history remark information, pharmacist's history remarks Information etc..
- 6. examination ＆ verification configuration module according to claim 1, it is characterised in that：For to section office, lesion, medicine, examination ＆ verification item, Pharmacist, pharmacist are responsible for scope, time-out time carries out every configuration, mainly include：Audit section office's configuration：Preposition examination ＆ verification is participated in for configuring which section office, is participated in before the section office of preposition examination ＆ verification will follow The specification and process requirements for putting examination ＆ verification issue Medication order；Audit lesion configuration：Preposition examination ＆ verification is participated in for configuring which lesion, is participated in before the lesion of preposition examination ＆ verification will follow The specification and process requirements for putting examination ＆ verification issue Medication order；Audit Pharmaceutical setting：Medicine is audited automatically for configuring system, and the medicine system not configured will not be reasonable to its Property audited, be defaulted as its use it is reasonable；Audit project configuration：For configuring system audit project, the project system not configured will not to its reasonability into Row examination ＆ verification, it is reasonable to give tacit consent to the examination ＆ verification item, and examination ＆ verification item can be refine on each medicine；Audit pharmacist's configuration：It is responsible for preposition examination for configuring which pharmacist, participating in the pharmacist of preposition examination ＆ verification will receive The system preliminary hearing Irrational Use of Drugs doctor's advice sent to doctor；Pharmacist's review scope configures：It is responsible for which lesion or the preposition examination of which section office, Yao Shi for configuring pharmacist During hilllock, it will receive it and be responsible for lesion and the Medication order of section office；Audit time-out time：Medication order time-out time is audited for configuring pharmacist, if pharmacist does not complete within the setting time Medication order examination, then system automatic feedback doctor is allowed to issue Medication order.
- 7. Medication order comment module according to claim 1 of being in hospital, it is characterised in that：Pharmacist can check patient's hospital stay Between Medication order, electronic health record, inspection result, system audit result and preposition pharmacist's auditing result, for preposition examination ＆ verification pharmacist The Irrational Use of Drugs doctor's advice overtime or not on duty passed through is audited, pharmacist can be commented on again, and comment result is passed to hair Medicine end.
- 8. pharmacist's dispensing end auditing module according to claim 1, it is characterised in that：Dispensing pharmacist can view patient's use All the elements, system audit result and the preposition pharmacist's auditing result of medicine doctor's advice, for preposition examination ＆ verification pharmacist examination ＆ verification time-out or not The Irrational Use of Drugs doctor's advice on duty passed through, dispensing pharmacist does secondary intercept and refuses dispensing, and notifies doctor.
- 9. statistical module according to claim 1, it is characterised in that：Every content in preposition review process can be carried out Statistics, including：The unreasonable quantity of doctor's Medication order and ratio：For per diem, moon statistics do not conform to per the system audit of doctor Medication order quantity and ratio are managed, pharmacist audits Irrational Use of Drugs doctor's advice quantity and ratio；Doctor actively changes Medication order quantity and ratio：For per diem, the moon count doctor after system prompt actively modification use The quantity and ratio of medicine doctor's advice；The unreasonable quantity of section office's Medication order and ratio：For per diem, the system that counts each section office the moon examines Core Irrational Use of Drugs doctor's advice quantity and ratio, pharmacist audit Irrational Use of Drugs doctor's advice quantity and ratio；The unreasonable quantity of full institute Medication order and ratio：For per diem, count the system audit Irrational Use of Drugs doctor's advice of full institute the moon Quantity and ratio, pharmacist audit Irrational Use of Drugs doctor's advice quantity and ratio；Pharmacist audits Medication order amount：For per diem, count every pharmacist the moon and audit Medication order quantity.
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| CN108648794A (en) * | 2018-05-14 | 2018-10-12 | 深圳医翼健康科技有限公司 | A kind of electronic prescription drug safety control system |
| CN108766523A (en) * | 2018-08-30 | 2018-11-06 | 成都宇亨智能设备科技有限公司 | A kind of intelligent Chinese Traditional Medicine house system |
| CN108766518A (en) * | 2018-06-08 | 2018-11-06 | 广州天恒信息科技有限公司 | Analysis method between a kind of the physiological pathology state and drug of knowledge based library rule |
| CN108847290A (en) * | 2018-06-08 | 2018-11-20 | 广州天恒信息科技有限公司 | Analysis method between a kind of each drug form mixing of knowledge based library rule |
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| CN108766523A (en) * | 2018-08-30 | 2018-11-06 | 成都宇亨智能设备科技有限公司 | A kind of intelligent Chinese Traditional Medicine house system |
| CN109192265A (en) * | 2018-09-06 | 2019-01-11 | 安徽晶奇网络科技股份有限公司 | A kind of rational use of medicines system |
| CN109616187A (en) * | 2018-12-13 | 2019-04-12 | 平安医疗健康管理股份有限公司 | Monitoring method, monitoring service end and the storage medium of doctor's violation operation |
| CN109920508A (en) * | 2018-12-28 | 2019-06-21 | 安徽省立医院 | prescription auditing method and system |
| CN110299197A (en) * | 2019-07-02 | 2019-10-01 | 上海市中西医结合医院 | A kind of in prescriptions of traditional Chinese medicine generation, decocts automatic auditing system |
| CN110299197B (en) * | 2019-07-02 | 2023-12-05 | 上海市中西医结合医院 | Automatic auditing system for traditional Chinese medicine prescription decoction replacement |
| CN110391006A (en) * | 2019-07-23 | 2019-10-29 | 夹江县人民医院 | Drug for medical insurance clearing marks method certainly |
| CN112786128A (en) * | 2019-11-01 | 2021-05-11 | 上海市嘉定区南翔医院 | Electronic medical record writing quality inspection system and method |
| CN111627517A (en) * | 2020-05-29 | 2020-09-04 | 河南科技大学第一附属医院 | Medication supervision system applied to ward of medical institution |
| CN111968717A (en) * | 2020-08-19 | 2020-11-20 | 深圳市宝安区妇幼保健院 | Square checking system |
| CN112259253A (en) * | 2020-11-13 | 2021-01-22 | 上海市第六人民医院 | Medical prescription auditing system and method |
| CN112466429A (en) * | 2020-11-30 | 2021-03-09 | 渭南市妇幼保健院 | Clinical pharmacy guardianship management system |
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