CN113657785B - AGREE II-based hospital medicine selection auxiliary system - Google Patents
AGREE II-based hospital medicine selection auxiliary system Download PDFInfo
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- CN113657785B CN113657785B CN202110970210.3A CN202110970210A CN113657785B CN 113657785 B CN113657785 B CN 113657785B CN 202110970210 A CN202110970210 A CN 202110970210A CN 113657785 B CN113657785 B CN 113657785B
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Abstract
The invention provides a hospital medicine selection auxiliary system based on AGREE II, which comprises a personnel management subsystem, a management subsystem and a management subsystem, wherein the personnel management subsystem is used for storing and managing system administrator information and all account information; the basic data management subsystem is used for storing and managing AGREE II standards; the first evaluation module is used for calling an AGREE II standard, creating a medicine selection guide according to the AGREE II standard, and evaluating the guide through the score of the AGREE II standard; the second evaluation module is used for calling a medicine selection guide and evaluating the medicine selection guide again through the score of the AGREE II standard; the summarizing module is used for summarizing the evaluation results of the first evaluation module and the second evaluation module and calculating the domain scores corresponding to the guidelines; and the output module is used for outputting the evaluation result of the medicine selection guide and a summary table of the domain scores corresponding to the medicine selection guide. The system helps pharmacy staff to improve the drug evidence quality evaluation work efficiency, improve the reliability of the evaluation result and optimize the new drug selection management mode, and is scientific and standardized for drug selection in hospitals.
Description
Technical Field
The invention relates to the technical field of medical auxiliary systems, in particular to an AGREE II-based hospital medicine selection auxiliary system.
Background
The evidence quality evaluation is a very important ring in the medicine hygiene technology evaluation, and the link can help hospitals to make medicine purchasing and using decisions conforming to the condition of the hospital based on evidence-based evidence, so that the reasonable use of medicines is promoted.
Clinical guidelines are the most important reference bases for clinicians to treat diseases, but clinical guidelines have uneven quality, and the clinical guideline quality assessment tool AGREE II can help us to screen out high-quality guidelines, help a hospital decision-making layer to select medicines really suitable for a hospital for treating diseases, and better serve patients. However, the clinical guideline evaluation tool agreeii has a plurality of entries and a plurality of calculations, the evaluation of one guideline requires the individual calculation of the domain score of each domain, and each numerical value in the formula changes along with the change of the number of evaluation persons, so that the traditional EXCEL evidence quality evaluation mode is inefficient and prone to error.
Aiming at the defects of low evaluation efficiency, low reliability (errors may occur in manual calculation), inconvenient management and the like of the existing mode, the invention provides a novel AGREE II-based hospital medicine selection auxiliary system.
Disclosure of Invention
In order to solve the problems, the invention aims to provide the AGREE II-based hospital medicine selection auxiliary system, which helps pharmacy staff to improve the medicine evidence quality evaluation work efficiency, improve the reliability of the evaluation result and optimize the new medicine selection management mode, and is scientific and standardized for the hospital medicine selection.
In order to achieve the above purpose, the present invention provides the following technical solutions.
AGREE II-based hospital drug selection assistance system comprising:
the basic data management subsystem is used for storing and managing AGREE II standards;
the first evaluation module is used for calling an AGREE II standard, creating a medicine selection guide according to the AGREE II standard, and evaluating the guide through the score of the AGREE II standard;
the second evaluation module is used for calling a medicine selection guide and evaluating the medicine selection guide again through the score of the AGREE II standard;
the summarizing module is used for summarizing the evaluation results of the first evaluation module and the second evaluation module and calculating the domain scores corresponding to the medicine selection guide;
and the output module is used for outputting the evaluation result of the medicine selection guide and a summary table of the domain scores corresponding to the medicine selection guide.
Preferably, when the second evaluation module is invoked for a plurality of times, the summarizing module summarizes the evaluation results of the first evaluation module and the evaluation results of a plurality of second evaluation modules.
Preferably, the domain score is:
maximum possible score = maximum rating score x guideline entry number x rating number;
minimum possible score = minimum rating score x guideline entry number x rating number;
(actual score-minimum probable score)/(maximum probable score-minimum probable score) ×100%.
Preferably, the system further comprises a standard maintenance module for maintaining the AGREE II standard in the basic data management subsystem.
Preferably, the system also comprises a personnel management subsystem; the personnel management subsystem comprises:
the account management module is used for creating and storing corresponding system authority and role information of the account information;
the permission management module is used for changing the system permission corresponding to the account information;
and the role management module is used for changing the role information corresponding to the account information.
Preferably, the system further comprises a content description module for describing the evaluation basis of the guideline.
Preferably, the visual evaluation interface is further included for displaying the item of the current guide, the content explanation of the corresponding item, the search information, the scoring criteria and the evaluation basis.
The invention has the beneficial effects that:
(1) And the working efficiency is improved: (1) the calculation of AGREE ii is complicated. The invention completes the complicated calculation part by the computer, thereby greatly improving the working efficiency while ensuring the accuracy; (2) the number of AGREE II entries is large, scoring standards are large, and the human brain is hard to remember. The system places explanation, searching position and scoring standard of each item in the AGREE II on the evaluation interface, is convenient for an evaluator to check at any time, does not need to repeatedly turn over the AGREE II manual, and greatly saves time.
(2) Increasing the reliability of the result: (1) the system has no limit on the number of the evaluators, can increase the number of the evaluators to improve the reliability of the result, and solves the problem that the number of the evaluators is difficult to increase in the traditional mode; (2) the system eliminates errors caused by manual calculation.
(3) Result sharing: the evaluation results among all the evaluators are integrated by the system and stored in the server, and the evaluators can check after logging in, so that the resource sharing is easily realized, and the barrier of difficult resource sharing in the traditional mode is broken;
(4) And (3) optimizing and managing: the evaluation results are uniformly stored in service management, uniformly filed and convenient to manage.
Drawings
FIG. 1 is a system functional diagram of an embodiment of the present invention;
FIG. 2 is a flow chart of a guideline quality assessment module collaboration in accordance with an embodiment of the present invention;
FIG. 3 is a visual assessment interface of an embodiment of the present invention;
FIG. 4 is a schematic diagram showing a summary of evaluation results according to an embodiment of the present invention.
Detailed Description
The present invention will be described in further detail with reference to the drawings and examples, in order to make the objects, technical solutions and advantages of the present invention more apparent. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
Examples
AGREE II-based hospital drug selection assistance system, as shown in FIGS. 1 to 4, comprises:
and the personnel management subsystem is used for storing and managing system administrator information and all account information. Specific:
the account management module is used for creating and storing corresponding system authority and role information of the account information;
the permission management module is used for changing the system permission corresponding to the account information;
and the role management module is used for changing the role information corresponding to the account information.
And the basic data management subsystem is used for storing and managing AGREE II standards and department information.
A guideline quality evaluation module, comprising:
the standard maintenance module is used for maintaining an AGREE II standard in the basic data management subsystem; the first evaluation module is used for calling the AGREE II standard of the maintained basic data management subsystem, creating a guideline according to the AGREE II standard and evaluating the guideline through the score; the second evaluation module calls the guideline created by the first evaluation module and evaluates the guideline; the summarizing module is used for summarizing the evaluation results of the first evaluation module and the second evaluation module and calculating and obtaining domain scores corresponding to the guidelines; when the second evaluation module is called for a plurality of times, the summarizing module summarizes the evaluation results of the first evaluation module and the evaluation results of the plurality of second evaluation modules; the guideline quality evaluation module further comprises a content description module for describing the evaluation basis of the guideline. The specific display interface is shown in fig. 3, and is used for displaying the item of the current guide, the content explanation of the corresponding item, the search information, the scoring standard and the evaluation basis.
And the output module is used for outputting a summary table of the evaluation results and the domain scores of the corresponding guidelines, as shown in fig. 4.
Specifically, the agreeii score for each domain is equal to the sum of the scores of each entry in that domain and normalized to the percentage of the highest score possible for that domain. For example: the 4 evaluators scored domain 1 (range and purpose) as follows:
table 1 evaluation table
Maximum likelihood score=7 (very consent) x3 (entry) x4 (evaluator) =84
Minimum likelihood score=1 (very disagreement) x3 (entry) x4 (evaluator) =12
Domain score = (actual score-minimum likelihood score)/(maximum likelihood score-
Minimum likelihood score) ×100% = (53-12)/(84-12) ×100% = 56.94%.
After each item is evaluated through the guideline evaluation interface, the system can automatically summarize the result, as shown in fig. 4, and the working efficiency is greatly improved while the accuracy is ensured. The scoring score and basis for each entry for each evaluator is clearly seen from the summary table, as well as the lowest possible score, highest possible score, targeting percentage (domain score) for each domain. Systems with larger scores are automatically submitted to third person evaluation, thereby increasing the reliability of the results.
After the system gathers the results and combines with the AGREEII quality grade standard, logic operation is carried out, and finally, the guide quality is divided into three grades of high, medium and low. The pharmacy staff gives different health technical scores to the selected medicines according to different quality grades of the guidelines and different recommended grades of the guidelines, and scoring is carried out step by step. The medicine hygiene technology score can be a more objective knowledge of a new medicine selection expert, a medicine management committee and a hospital leader for selecting medicines, data support is provided for decision making of the medicines, and medicine varieties with high evidence grade and satisfactory patients, which are really needed clinically, are selected, so that doctors and patients are benefited finally.
The evidence-based evidence evaluation is carried out on the admission of new medicines through the system, so that medicines with insufficient evidence are prevented from entering the medicine catalogue of the hospital, and the occurrence of unreasonable medicines is fundamentally cut off; the system can also be used for periodically evaluating the evidence quality of the medicines in the hospital, and providing evidence-based evidence support for dynamic adjustment of the medicines.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the invention.
Claims (4)
1. AGREE II-based hospital drug selection assistance system, comprising:
the basic data management subsystem is used for storing and managing AGREE II standards;
the first evaluation module is used for calling an AGREE II standard, creating a medicine selection guide according to the AGREE II standard, and evaluating the guide through the score of the AGREE II standard;
the second evaluation module is used for calling a medicine selection guide and evaluating the medicine selection guide again through the score of the AGREE II standard;
the summarizing module is used for summarizing the evaluation results of the first evaluation module and the second evaluation module and calculating the domain scores corresponding to the medicine selection guide;
the output module is used for outputting an evaluation result of the medicine selection guide and a summary table of domain scores corresponding to the medicine selection guide;
the domain scores are:
maximum possible score = maximum rating score x guideline entry number x rating number;
minimum possible score = minimum rating score x guideline entry number x rating number;
domain score = (actual score-minimum probable score)/(maximum probable score-minimum probable score) ×100%;
the content description module is used for describing the evaluation basis of the guideline;
the visual evaluation interface is used for displaying the item of the current guide, the content explanation of the corresponding item, the search information, the scoring standard and the evaluation basis.
2. The agreeii-based hospital drug selection assistance system of claim 1, wherein the aggregation module aggregates the evaluation results of the first evaluation module and the evaluation results of the plurality of second evaluation modules when the second evaluation module is invoked a plurality of times.
3. The agreii-based hospital drug selection aid system of claim 1, further comprising a standard maintenance module for maintaining agreii standards in the underlying data management subsystem.
4. The agreeii-based hospital drug selection assistance system of claim 1, further comprising a personnel management subsystem; the personnel management subsystem comprises:
the account management module is used for creating and storing corresponding system authority and role information of the account information;
the permission management module is used for changing the system permission corresponding to the account information;
and the role management module is used for changing the role information corresponding to the account information.
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| CN107480443A (en) * | 2017-08-08 | 2017-12-15 | 复旦大学附属儿科医院 | A kind of clinical drug integrated evaluating method based on real world |
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| CN111413476A (en) * | 2020-03-31 | 2020-07-14 | 四川大学华西第四医院 | Method for evaluating efficacy of fermented cordyceps sinensis powder tablets |
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| US20060020582A1 (en) * | 2004-07-22 | 2006-01-26 | International Business Machines Corporation | Method and system for processing abstract derived entities defined in a data abstraction model |
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Patent Citations (5)
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| CN102279903A (en) * | 2010-06-12 | 2011-12-14 | 信东生技股份有限公司 | Integrated drug development relevant data analysis and report generation service server |
| CN107480443A (en) * | 2017-08-08 | 2017-12-15 | 复旦大学附属儿科医院 | A kind of clinical drug integrated evaluating method based on real world |
| CN110765199A (en) * | 2019-11-07 | 2020-02-07 | 南京远致数据技术有限公司 | Medical insurance drug catalogue selecting method, storage medium and computer equipment |
| CN110853723A (en) * | 2019-11-24 | 2020-02-28 | 曹庆恒 | Intelligent medicine guidance method, system and equipment |
| CN111413476A (en) * | 2020-03-31 | 2020-07-14 | 四川大学华西第四医院 | Method for evaluating efficacy of fermented cordyceps sinensis powder tablets |
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| Title |
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