TWI549092B - Computerized physician order entry system and product of computer program - Google Patents

Description

Drug administration management method and computer program product

The present invention utilizes information stored by a medical information server to perform dose calculation, prescribing, and administration of a drug through a computer program.

The prior art manually calculated the dose and handwritten or computerized typing and administration, but there was no uniform and automatic computerized process, and there was no standardized format pre-stored.

Handwritten by handwriting or typing, there will be handwriting Difficulties in identification, lack of standard format treatment, inability to review past drug history, miscalculation of doses, drugs that are wrong, and too complicated to open the process, and wrongly opening drugs can cause serious health problems for the patient, and handwriting The process of prescribing administration is complicated by the result of single formatting, which makes the process of prescribing administration more time and labor.

Design a drug administration management method and computer program The product is loaded into a computer program by an electronic device and executed by a medical information server. The user uses the program on a computer connected to the medical information server. After logging in, the treatment plan is established. The treatment plan is established. a medical institution that combines the drug name, unit dose, administration method, and supporting drug for the drug according to the specific drug treatment combination, and adds basic patient data (including age, height, and weight). Form a formatted file that can be a prescription for a single patient. The user can then use the program on a computer connected to the medical information server. After logging in, enter the patient's medical record number or the patient selected by the medical information server. The program will follow the patient's existing existence. The disease code shows that only the treatment plan information for the disease is selected, and the user selects the treatment plan to be used. After selecting the treatment plan, if the medicine used in it matches the previous allergy medication of the subject, the program will remind you by the warning window. After the user enters the height and weight of the subject in the height and weight column, if the height is When the difference between the weight and the previously stored target data exceeds a certain adjustable ratio, the program will remind you by the warning window, and the program will convert the standard drug dosage according to the formula stored in the treatment plan. The converted dose can be adjusted by the user. However, if the difference from the standard dose exceeds a certain adjustable ratio, the program will ask the user to fill in the cause of the dose change in the warning window, otherwise it cannot be archived. The program compares the last dose with the previously stored medication information. If the dose differs from the previous one by a certain amount, the program will alert you with a warning window. The program will also compare the final concentration range of the diluted dose of the drug. If it exceeds or falls below the standard range stored by the medical information server, the program will ask the user to modify the amount of the diluent in the warning window. Afterwards, the user can confirm the filing and printing, that is, complete the opening of the drug, and other users can connect to the medical information server and then administer according to the prescribed treatment plan. The side effect evaluation is forced by the program after each administration, and if the side effect evaluation is not completed, the re-administration can not be performed. If the side effect assessment enters a third-level side effect, the program will force the user to enter the tracking result. Before the dose of the prescribed medication is preset before the previous treatment plan is completed, the user only needs to log in the program and input the height and weight, and the program will apply the treatment plan selected in the previous prescription. The number of doses preset in the treatment plan cannot be changed to another treatment plan before the completion of the treatment, so the treatment plan will be completed by the preset number of medications. If the patient finds that the condition is worse or the side effects are too large and the treatment plan is changed, you need to log in to choose to terminate the original treatment plan, otherwise you will not be able to click on other treatment plans.

This patent can lock patients, diseases, treatments and Side effects, and a large drug database for statistical analysis, can greatly avoid possible errors in treatment opening, dose calculation, patient data input, side effects assessment, etc., greatly improve patient safety and save doctors' prescription time.

The first figure is a flow chart of the invention for the first administration of the treatment.

The second figure is a flow chart of the second administration of the invention and the subsequent process.

The user uses the program on a computer that has been linked to the medical information server. After logging in, the user establishes a treatment plan. The treatment plan is a combination of the medical treatments prescribed by the medical institution according to the specific disease. Name, unit dose, mode of administration, supporting drugs, plus basic patient information (including age, height, weight), constitute a standardized format file that can be a prescription for a single patient.

The user can then use the program on a computer connected to the medical information server. After logging in, enter the patient's medical record number or the patient selected by the medical information server. The program will follow the patient's existing existence. The disease code shows that only the treatment plan information for the disease is selected, and the user selects the treatment plan to be used.

After selecting the treatment plan, if the medicine used in it matches the previous allergy medication of the subject, the program will remind you by the warning window.

After the user enters the height and weight of the subject in the height and weight column, if the difference between the height and weight and the previously stored target data exceeds a certain adjustable ratio, the program will remind you by the warning window and the program will be stored according to the treatment plan. The formula converts the standard drug dose.

The converted dose can be adjusted by the user. However, if the difference from the standard dose exceeds a certain adjustable ratio, the program will ask the user to fill in the cause of the dose change in the warning window, otherwise it cannot be archived.

The program compares the last dose with the previously stored medication information. If the dose differs from the previous one by a certain amount, the program will alert you with a warning window.

The program will also compare the final concentration range of the diluted dose of the drug. If it exceeds or falls below the standard range stored by the medical information server, the program will ask the user to modify the amount of the diluent in the warning window.

Afterwards, the user can confirm the filing and printing, that is, complete the opening of the drug, and other users can connect to the medical information server and then administer according to the prescribed treatment plan.

The side effect evaluation is forced by the program after each administration, and if the side effect evaluation is not completed, the re-administration can not be performed. If the side effect assessment enters a third-level side effect, the program will force the user to enter the tracking result.

Before the dose of the prescribed medication is preset before the previous treatment plan is completed, the user only needs to log in the program and input the height and weight, and the program will apply the treatment plan selected in the previous prescription. The number of doses preset in the treatment plan cannot be changed to another treatment plan before the completion of the treatment, so the treatment plan will be completed by the preset number of medications.

If the patient finds that the condition is worse or the side effects are too large and the treatment plan is changed, you need to log in to choose to terminate the original treatment plan, otherwise you will not be able to click on other treatment plans.

Claims (2)

A drug administration management method is implemented by an electronic device loaded with a computer program and executed by a medical information server, and includes the following steps: (1) the medical information server can store basic information of the patient input in advance by the user. At least the name, height and weight, medical history and treatment plan information, wherein the medical history includes at least the patient's past medication allergy information, the disease, the current specific disease and the number of treatments that have been performed, and the treatment plan information includes at least The number of treatments, the safe range of the final dilution of the drug, the drug, and a set of formulas for calculating the standard dose of each drug based on body surface area, body weight, or renal function; (2) the electronic device receives a login information about the user's login data, and After transmitting the login information to the medical information server to determine that the login information is correct, receiving an authorization information that is returned by the medical information server to allow the user to log in; (3) the electronic device receives a request information, wherein Contains at least one patient's medical record number, after which the electronic device transmits the information to the medical Serving the server, and then receiving and displaying at least one list information returned by the medical information server, the list information including at least one patient's personal data and a treatment plan information that is consistent with the patient's data; (4) The electronic device receives a request message, which includes at least one treatment plan information selected by the user, a height and weight information of the patient, and a clinical test information of the patient, and then transmits the information to the medical information server. After receiving the medical information server, the medical information server compares and calculates and returns the result information, wherein at least one dose information is included, and the electronic device subsequently receives and displays the result information; (5) in step (4) When the medical information server receives the treatment plan information transmitted by the electronic device, it compares the drug used in the treatment plan information with the patient's past drug allergy information, and if it matches, the medical information server transmits the medical information server back to the electronic device. And displaying a warning message; (6) in step (4) when the medical information server receives the height and weight transmitted by the electronic device, if When the previous height or weight difference reaches a certain adjustable ratio, the medical information server transmits back to the electronic device and displays a warning message; (7) in step (4) the electronic device receives and displays the medical information server back After transmitting the result information, the user can adjust the dose information on the electronic device and return it. After receiving the medical information server, the medical information server compares with the original calculated standard dose, and the gap reaches a certain adjustable ratio. Rate, or when the dose is set to a certain adjustable ratio from the previous treatment, the medical information server will transmit back to the electronic device and display a warning message; (8) in step (4), the medical information server will follow the The height and weight transmitted by the electronic device, using the formula in the treatment plan information to calculate the standard dose and the final dilution concentration of the drug, and the calculated final dilution concentration of the drug exceeds or falls below the safe range stored by the medical information server, the medical treatment The information server will transmit back to the electronic device and display a warning message; (9) the electronic device receives an end message containing at least one patient's medication information, and then transmitted to the medical information server, and the medical server stores This information can be transferred to other external servers. A computer program product, after loading an electronic device, can execute the management method described in claim 1.