WO2013181820A1 - Clinical medication decision support system - Google Patents

Clinical medication decision support system Download PDF

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WO2013181820A1
WO2013181820A1 PCT/CN2012/076579 CN2012076579W WO2013181820A1 WO 2013181820 A1 WO2013181820 A1 WO 2013181820A1 CN 2012076579 W CN2012076579 W CN 2012076579W WO 2013181820 A1 WO2013181820 A1 WO 2013181820A1
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module
review
sub
drug
medication
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PCT/CN2012/076579
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French (fr)
Chinese (zh)
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樊代明
李泽平
熊利泽
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北京太元通软件科技有限公司
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Priority to PCT/CN2012/076579 priority Critical patent/WO2013181820A1/en
Publication of WO2013181820A1 publication Critical patent/WO2013181820A1/en

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00ICT specially adapted for the handling or processing of medical references
    • G16H70/40ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage

Definitions

  • the invention belongs to the technical field of medical systems, and in particular relates to a clinical drug decision support system.
  • the drug safety software is embedded in the HIS (Hospital Information Management System) in the form of controls.
  • HIS Healthcare Information Management System
  • a variety of prescriptions establish a set of medication safety monitoring system, real-time warnings, tips, avoid the occurrence of phytotoxic accidents, improve the quality of medication in hospitals, prevent medical accidents and disputes, and ensure the safety of patient medication, has become a domestic hospital information monitoring system Consensus.
  • similar drug safety monitoring systems generally have a single function and are difficult to meet application requirements.
  • the technical problem to be solved by the present invention is how to provide a clinical drug decision support system to improve the safety of clinical medication.
  • the present invention provides a clinical medication decision support system, which includes:
  • the therapeutic medication specification module is configured to provide medical reference information and a medication reference scheme according to the patient's pathophysiological information for the doctor to prescribe;
  • a safe medication review module for reviewing the patient's medication safety based on the prescription and generating an examination log
  • a prescription monitoring and early warning module for evaluating the prescription and generating warning information based on the review log.
  • the therapeutic medication specification module comprises:
  • the disease diagnosis and treatment sub-module is configured to query a back-end database according to the patient's pathophysiological information, and then provide diagnosis and treatment reference information of the disease;
  • the therapeutic drug sub-module is configured to provide at least one medication reference plan according to the medical reference information for use by a doctor as a prescription.
  • the safe medication review module further comprises:
  • a drug interaction review sub-module for administering two or more drugs at the same time or at intervals, reviewing possible drug interactions, and generating a corresponding review log
  • the drug use contraindication sub-module is used to review the contraindications for drug use and generate a corresponding review log;
  • the drug allergy reaction review sub-module is used to review the drugs in use according to the patient's allergens and generate a corresponding review log;
  • the elderly drug review sub-module is used for safety review of elderly drugs and generates a corresponding review log
  • the child medication review sub-module is used for safety review of medications for children of all ages and generates a corresponding review log;
  • the Pregnancy Women's Drug Examination sub-module is used to conduct a safety review of women's medication during pregnancy and generate a corresponding review log;
  • the lactation women's medication review sub-module is used for the safety review of lactating women's medication and generates a corresponding review log;
  • the liver function abnormal drug review sub-module is used for safety review of drugs for patients with abnormal liver function, and generates a corresponding review log;
  • the renal dysfunction medication review sub-module is used for safety review of patients with renal dysfunction and generates a corresponding review log;
  • a drug delivery route review sub-module for performing a safety review of the route of administration and generating a corresponding review log
  • the individualized drug administration review sub-module is used to automatically prompt the items and precautions for monitoring when the drug has a narrow therapeutic window in the prescription;
  • the re-use review sub-module is used for security review of drugs with repeated ingredients and generates a corresponding review log.
  • the prescription monitoring and early warning module comprises:
  • a prescription evaluation sub-module for statistically evaluating the prescription and generating a corresponding evaluation form
  • the prescription warning sub-module is configured to generate corresponding warning information according to the review log according to the corresponding problem existing in the prescription.
  • the prescription evaluation sub-module further comprises:
  • a sample prescription evaluation unit for performing statistical analysis on the sample to be sampled and generating a prescription review worksheet
  • An outpatient prescription review unit for manually reviewing the prescriptions in the current review form, and recording the review results, generating a review form reported to the Ministry of Health, and for viewing the historical review form;
  • a full sample prescription evaluation unit for evaluating the prescription of the whole sample and generating a corresponding evaluation form
  • the prescription index evaluation unit is configured to perform statistical evaluation on specific prescription indicators of the prescription, and generate a corresponding evaluation form.
  • the prescription warning sub-module comprises:
  • the drug adverse reaction early warning unit is configured to perform statistics on the adverse reaction problems of the same drug in a predetermined period of time in the clinical use according to the review log, and issue an early warning information of the adverse drug reaction when the number of occurrences of the adverse reaction problem reaches a corresponding threshold value ;
  • the incompatibility warning unit is configured to perform statistics on the incompatibility problems of the same group of drugs in a predetermined period of time in clinical use according to the examination log, and issue a contraindication warning information when the number of incompatibility problems reaches a corresponding threshold;
  • the interaction early warning unit is configured to perform statistics on the interaction problems of the same group of drugs in a predetermined period of time in clinical use according to the examination log, and issue an interaction early warning information when the number of occurrences of the interaction problem reaches a corresponding threshold;
  • the contraindication warning unit is configured to perform statistics on contraindications for consecutive occurrences of the same drug in a clinical use according to the review log, and issue a contraindication warning message when the number of occurrences of the contraindication syndrome reaches a corresponding threshold.
  • the system further comprises: a rational medication supervision module;
  • the safe medication review module in the process of reviewing the patient's medication safety according to the prescription, if the medication safety problem is found, the corresponding warning information will be recorded in the examination log;
  • the rational medication supervision module is configured to perform statistics and query on the warning information according to the examination log.
  • the system further comprises:
  • the antibacterial drug management module is used for hierarchical authorization management of antibacterial drugs, as well as querying and statistical analysis of the actual use of antibacterial drugs.
  • the antibacterial drug management module comprises:
  • the sub-quantitative statistics sub-module is used to use antibacterial drugs in violation of the department or doctor's statistics
  • the usage sorting sub-module is used for sorting the antibacterial drugs according to the usage amount of different antibacterial drugs in a predetermined period of time;
  • the usage query sub-module is used to query the amount of the corresponding antibacterial drug, the cumulative DDD or the amount according to the department and the doctor;
  • the medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibiotics during hospitalization;
  • the preventive medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibacterial drugs during cleansing during hospitalization.
  • the system further comprises: an online medical knowledge base module, configured to provide a query service for medical related information by retrieving a back-end database;
  • the online medical knowledge base module further includes:
  • the drug product sub-module is used to query the Chinese and Western drug product specifications approved by the SFDA;
  • the therapeutic drug sub-module is used for querying medical diagnosis reference information
  • Clinical pathway sub-module for querying clinical pathways for multiple diseases
  • Pregnancy medication safety classification sub-module for searching the classification safety information of pregnancy medication according to drug classification and drug name;
  • Antibacterial drug policy sub-module for querying policy documents related to the clinical application of antibacterial drugs
  • the individualized drug sub-module is used for querying a drug list with a narrow therapeutic window, a test item for a related medicine with a narrow therapeutic window, a blood collection time, and a blood drug concentration range;
  • the normal value sub-module is tested for querying the normal value and significance of the clinical test
  • the medical regulations sub-module is used to query the relevant contents of the national medical administration, drug administration, and health emergency.
  • the clinical drug decision support system of the invention automatically provides a medication plan for the patient's pathophysiological information, assists the doctor to prescribe the prescription, conducts a safety review of the prescription, evaluates the prescription, and provides early warning of the examination result, which significantly improves the safety of the clinical medication. Sex, standardization and standardization, avoiding medication errors in hospitals, preventing medical risks, reducing disputes between doctors and patients, and improving medical quality. At the same time, through the establishment of the antibacterial drug management module, effective management and monitoring of antibacterial drugs is realized. , further improve the safety of clinical medication.
  • FIG. 1 is a block diagram showing the structure of a clinical medication decision support system according to an embodiment of the present invention.
  • FIG. 1 is a block diagram showing the structure of a clinical medication decision support system according to an embodiment of the present invention.
  • the system includes a therapeutic medication specification module 100, a safety medication examination module 200, a prescription monitoring and early warning module 300, a rational medication supervision module 400, an antibacterial medication management module 500, and an online medical knowledge base module 600.
  • the therapeutic medication specification module 100 is configured to provide medical treatment reference information and a medication reference scheme according to the patient's pathophysiological information for the doctor to prescribe.
  • the safe medication review module 200 is configured to review the medication safety of the patient according to the prescription, and generate an examination log. During the review process, if the medication safety problem is found, the corresponding warning information will be recorded in the examination log; at the same time, the doctor will be prompted to re-apply the prescription and review the re-opened prescription again.
  • the review here includes a review of the drug for a disease and a review of the drug for the complication of the disease.
  • the prescription monitoring and early warning module 300 is configured to evaluate the prescription and generate early warning information according to the examination log.
  • the reasonable medication supervision module 400 is configured to perform statistics and query on the warning information according to the examination log.
  • the antibacterial drug management module 500 is used for hierarchical authorization management of antibacterial drugs, and for querying and statistical analysis of actual use of antibacterial drugs.
  • the online medical knowledge base module 600 is configured to provide a query service for providing medical related information by searching a backstage database.
  • the therapeutic medication specification module 100 includes:
  • the disease diagnosis and treatment sub-module is used for querying the background database according to the patient's pathophysiological information, and then providing medical diagnosis and treatment reference information.
  • the disease diagnosis and treatment sub-module carries the patient's pathophysiological information through the background database and the pathological and physiological information of the common common disease and high incidence, when the patient's pathophysiological information is in the background.
  • the medical and surgical reference information of the disease corresponding to the pathophysiological information is displayed, including disease summary, diagnosis basis, differential diagnosis, clinical classification, drug treatment, complication treatment, condition monitoring and the like.
  • the therapeutic drug sub-module is configured to provide at least one medication reference plan according to the medical reference information for use by a doctor as a prescription.
  • the medication reference protocol includes specific medication standards.
  • the safe medication review module 200 further includes:
  • a drug interaction review sub-module for reviewing two or more drugs at the same time or at intervals, reviewing possible drug interactions, and generating a corresponding review log.
  • the drug use contraindication sub-module is used to review the contraindications for drug use and generate a corresponding review log.
  • the drug allergy reaction review sub-module is used to review the drugs in use according to the patient's allergens and generate a corresponding review log.
  • the Adverse Drug Reactions Review sub-module is used to review drugs that may cause adverse reactions in patients and generate a corresponding review log.
  • the elderly drug review sub-module is used for safety review of elderly drugs and generates a corresponding review log.
  • the Children's Drug Examination sub-module is used for safety review of medications for children of all ages and generates a corresponding review log.
  • the Pregnancy Women's Drug Examining Module is used to conduct a safety review of women's medication during pregnancy and to generate a corresponding review log.
  • the lactation women's medication review sub-module is used for the safety review of lactating women's medications and generates a corresponding review log.
  • the liver function abnormal drug review sub-module is used for safety review of drugs for patients with abnormal liver function, and generates a corresponding review log.
  • the renal dysfunction medication review sub-module is used for safety review of patients with renal dysfunction and generates a corresponding review log.
  • a dosing sub-module is administered to perform a safety review of the administered dose and generate a corresponding review log.
  • the individualized drug administration review sub-module is used to automatically prompt the items and precautions that need to be monitored when the drug with a narrow therapeutic window appears in the prescription.
  • the drug having a narrow therapeutic window includes at least: cyclosporine, digoxin, flecainide, lithium preparation, phenytoin, sirolimus, tacrolimus, theophylline, warfarin.
  • the re-use review sub-module is used for security review of drugs with repeated ingredients and generates a corresponding review log.
  • the prescription monitoring and early warning module 300 includes:
  • a prescription evaluation sub-module for statistically evaluating the prescription and generating a corresponding evaluation form.
  • the prescription evaluation sub-module further includes:
  • a sample prescription evaluation unit is configured to perform statistical analysis on the sample to be sampled and generate a prescription review worksheet.
  • the outpatient prescription review unit is used for manual review of the prescriptions in the current review form, and records the review results, generates a review form reported to the Ministry of Health, and is used to view the historical review form.
  • a full sample prescription evaluation unit for evaluating the prescription of the entire sample and generating a corresponding evaluation form.
  • the prescription index evaluation unit is configured to perform statistical evaluation on specific prescription indicators of the prescription, and generate a corresponding evaluation form.
  • the prescription warning sub-module is configured to generate corresponding warning information according to the review log according to the corresponding problem existing in the prescription.
  • the prescription warning sub-module includes:
  • the drug adverse reaction early warning unit is configured to perform statistics on the adverse reaction problems of the same drug in a predetermined period of time in the clinical use according to the review log, and issue an early warning information of the adverse drug reaction when the number of occurrences of the adverse reaction problem reaches a corresponding threshold value .
  • the threshold value here should be set according to the actual situation, for example, set to 5, 10 or 15, etc., and is preferably set to 10 in this embodiment. The following threshold conditions are similar and will not be described here.
  • the incompatibility warning unit is used for counting the incompatibility problems of the same group of drugs in the clinical use for a predetermined time according to the examination log, and issuing the incompatibility warning information when the number of incompatibility problems reaches the corresponding threshold.
  • the interaction early warning unit is configured to perform statistics on the interaction problems of the same group of drugs in a predetermined period of time in clinical use according to the examination log, and issue an interaction early warning information when the number of occurrences of the interaction problem reaches a corresponding threshold;
  • the contraindication warning unit is configured to perform statistics on contraindications for consecutive occurrences of the same drug in a clinical use according to the review log, and issue a contraindication warning message when the number of occurrences of the contraindication syndrome reaches a corresponding threshold.
  • the reasonable medication supervision module 400 is configured to perform statistics and query on the warning information according to the examination log. Specifically, the reasonable medication supervision module 400 may perform statistics on the warning information according to the warning level in the whole hospital, and may perform statistics on the warning information according to the type of examination in the whole hospital, which may be described according to the department. The warning information is counted, and the warning information may be counted according to the type of examination in the department, and the warning information may be counted according to the doctor, or the warning information may be counted according to the type of examination for different doctors.
  • the type of review here corresponds to 15 sub-modules of the safe medication review module 200, including 15 types of drug interactions, drug incompatibility contraindications, and drug use contraindications.
  • the antibacterial drug management module 500 includes:
  • the hierarchical management sub-module is used to set the level of antibacterial drugs, the authority of doctors to use antibacterial drugs, and to examine whether doctors use antibiotics in compliance with regulations and record the results of the review.
  • the sub-quantitative statistics sub-module is used to use antibacterial drugs in violation of the department or doctor's statistics.
  • the usage sorting sub-module is used to sort the antibacterial drugs according to the usage amount of different antibacterial drugs in a predetermined period of time.
  • Usage query sub-module used to check the amount of antibiotics according to departments and doctors, cumulative DDD (defined daily Dose, limit daily dose) or amount.
  • the medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibiotics during hospitalization.
  • the preventive medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibacterial drugs during cleansing during hospitalization.
  • the antibacterial drug management module 500 in reviewing whether the doctor's use of the antibacterial drug meets the requirements, the data source is the HIS (Hospital Information System) system, and the HIS system stores the prescription data of the whole hospital in real time, the antibacterial The medication management module 500 periodically extracts prescription data from the HIS system, and then reviews whether the use of the antimicrobial drug meets the requirements, and records the results of the review.
  • HIS Hespital Information System
  • the online medical knowledge base module 600 further includes:
  • the drug product sub-module is used to query the Chinese and Western drug product manual approved by the SFDA (National Food and Drug Administration);
  • the therapeutic drug sub-module is used for querying medical diagnosis reference information
  • Clinical pathway sub-module for querying clinical pathways for multiple diseases
  • Pregnancy medication safety classification sub-module for searching the classification safety information of pregnancy medication according to drug classification and drug name;
  • Antibacterial drug policy sub-module for querying policy documents related to the clinical application of antibacterial drugs
  • the individualized drug sub-module is used for querying a drug list with a narrow therapeutic window, a test item for a related medicine with a narrow therapeutic window, a blood collection time, and a blood drug concentration range;
  • the normal value sub-module is tested for querying the normal value and significance of the clinical test
  • the medical regulations sub-module is used to query the relevant contents of the national medical administration, drug administration, and health emergency.
  • the therapeutic medicine sub-module in the online medical knowledge base module 600 and the disease diagnosis and treatment sub-module in the therapeutic medication specification module 100 have similar functions, and the data sources are similar. Therefore, the online medical knowledge base module 600 and the therapeutic medication specification module 100 employ the same back-end database to save implementation costs. Those skilled in the art will readily appreciate that the above two modules may also employ different back-end databases.
  • the clinical drug decision support system automatically provides a medication plan for the patient's pathophysiological information, assists the doctor in prescribing a prescription, conducts a safety review of the prescription, and evaluates the prescription, and provides early warning of the examination result, which significantly improves the clinical
  • the safety, speed and order of medications have circumvented the hospital's medication errors, prevented medical risks, reduced doctor-patient disputes, and improved medical quality.
  • the clinical drug decision support system of the invention automatically provides a medication plan for the patient's pathophysiological information, assists the doctor to prescribe the prescription, conducts a safety review of the prescription, evaluates the prescription, and provides early warning of the examination result, which significantly improves the safety of the clinical medication. Sex, quickness and ordering, avoiding medication errors in hospitals, preventing medical risks, reducing disputes between doctors and patients, improving medical quality, and industrial applicability; at the same time, by setting up the antibacterial drug management module, The effective management and monitoring of antibacterial drugs further improves the safety of clinical drugs.

Abstract

A clinical medication decision support system comprises a standard treatment medication module, used for providing diagnosis and treatment reference information and a medication reference scheme according to pathology and physiology information of a patient, so that a doctor can make a prescription; a medication safety reviewing module, used for reviewing the medication safety condition of the patient according to the prescription and generating a reviewing log; and a prescription monitoring and warning module, used for estimating the prescription and generating warning information according to the reviewing log. The system can automatically provide the medication scheme according to the pathology and physiology information of the patient, assist the doctor in making the prescription, review the safety of the prescription, estimate the prescription and conduct warning on the reviewing result, thereby remarkably improving the security, normalization and standardization of clinical medication; and furthermore, by setting an antibacterial agent management module, the effective management and monitoring on antibacterial agents are achieved, and the safety of the clinical medication is further improved.

Description

临床用药决策支持系统  Clinical drug decision support system
技术领域Technical field
本发明属于医药系统技术领域,尤其涉及临床用药决策支持系统。The invention belongs to the technical field of medical systems, and in particular relates to a clinical drug decision support system.
背景技术Background technique
在我国,深化医药卫生体制改革是一项涉及面广,难度大的系统工程。一方面,我国医疗资源紧缺“看病难,看病贵”,比如,我国现有癫痫患者一千万人,每年还有40万新发病人,但实际上40%多的人从未进行过治疗,大约35%的人接受的是不正规治疗;另一方面,政府和百姓却在为“过度诊疗、药物滥用”买单,比如,全国各大医院中对抗菌药物的使用,其中半数应用不当,每年仅滥用抗生素经济损失就达十亿元以上。In China, deepening the reform of the medical and health system is a systematic project involving a wide range of difficulties. On the one hand, China's medical resources are in short supply “difficult to see a doctor, expensive to see a doctor”. For example, there are 10 million people with epilepsy in China, and there are 400,000 new people each year, but in fact more than 40% have never been treated. About 35% of people accept informal treatment; on the other hand, the government and the people are paying for “excessive treatment and drug abuse”, for example, the use of antibiotics in major hospitals across the country, half of which are improperly applied every year. The economic loss of only abuse of antibiotics will reach more than one billion yuan.
SFDA药品评价中心2007年在北京、武汉、重庆、广州的26家医院调查儿童水样腹泻的治疗,用药合理的只有5.4%;肺炎的药物治疗处理适当的也只有12.3%。同时由于用药不规范,患者产生不良反应的事件也逐年增多,处理这样的纠纷也耗费了医院很多的时间和精力。In 2007, SFDA Drug Evaluation Center investigated the treatment of children with watery diarrhea in 26 hospitals in Beijing, Wuhan, Chongqing and Guangzhou. The rational use of drugs was only 5.4%; the appropriate treatment for pneumonia was only 12.3%. At the same time, due to the irregular use of drugs, the number of adverse reactions caused by patients has increased year by year. Dealing with such disputes has also cost the hospital a lot of time and energy.
对于目前过度诊疗造成的惊人浪费,以及对民族健康的巨大危害和隐患,国家尚缺乏科学、快捷、经济、有效的监管手段。因此,用药安全软件以控件形式嵌入HIS(医院信息管理系统),在电子处方(医嘱)环节上,对存在超量用药、禁忌症、配伍禁忌、相互作用或错误输入等可能对患者造成伤害的多种处方,建立起一套用药安全监测系统,实时警告、提示,避免药害事故的发生,提高医院的用药质量,防止药疗事故和纠纷,保障病人用药安全,已成为国内医院信息监测系统的共识。但是,目前类似的用药安全监测系统一般功能单一,难以满足应用需求。The country still lacks scientific, fast, economic and effective means of supervision for the incredible waste caused by excessive medical treatment and the great harm and hidden dangers to national health. Therefore, the drug safety software is embedded in the HIS (Hospital Information Management System) in the form of controls. In the electronic prescription (doctoral) link, there may be damage to the patient in the presence of overdose, contraindications, incompatibility, interaction or incorrect input. A variety of prescriptions, establish a set of medication safety monitoring system, real-time warnings, tips, avoid the occurrence of phytotoxic accidents, improve the quality of medication in hospitals, prevent medical accidents and disputes, and ensure the safety of patient medication, has become a domestic hospital information monitoring system Consensus. However, at present, similar drug safety monitoring systems generally have a single function and are difficult to meet application requirements.
发明内容Summary of the invention
(一)要解决的技术问题(1) Technical problems to be solved
本发明要解决的技术问题是:如何提供一种临床用药决策支持系统,以提高临床用药的安全性。The technical problem to be solved by the present invention is how to provide a clinical drug decision support system to improve the safety of clinical medication.
(二)技术方案(2) Technical plan
为解决上述技术问题,本发明提供一种临床用药决策支持系统,其包括: To solve the above technical problem, the present invention provides a clinical medication decision support system, which includes:
治疗用药规范模块,用于根据患者的病理生理信息提供诊疗参考信息和用药参考方案,以供医生开具处方;The therapeutic medication specification module is configured to provide medical reference information and a medication reference scheme according to the patient's pathophysiological information for the doctor to prescribe;
安全用药审查模块,用于根据所述处方对患者的用药安全情况进行审查,并生成审查日志;a safe medication review module for reviewing the patient's medication safety based on the prescription and generating an examination log;
处方监测与预警模块,用于对所述处方进行评估,以及根据所述审查日志生成预警信息。A prescription monitoring and early warning module for evaluating the prescription and generating warning information based on the review log.
优选地,所述治疗用药规范模块包括: Preferably, the therapeutic medication specification module comprises:
疾病诊疗子模块,用于根据患者的病理生理信息查询后台数据库,然后提供疾病的诊疗参考信息;The disease diagnosis and treatment sub-module is configured to query a back-end database according to the patient's pathophysiological information, and then provide diagnosis and treatment reference information of the disease;
治疗用药子模块,用于根据所述诊疗参考信息给出至少一种用药参考方案,以供医生作为处方选用。The therapeutic drug sub-module is configured to provide at least one medication reference plan according to the medical reference information for use by a doctor as a prescription.
优选地,所述安全用药审查模块进一步包括:Preferably, the safe medication review module further comprises:
药物相互作用审查子模块,用于对两种或多种药物同时或间隔一定时间给药,可能出现的药物相互作用进行审查,并生成相应的审查日志;A drug interaction review sub-module for administering two or more drugs at the same time or at intervals, reviewing possible drug interactions, and generating a corresponding review log;
药品配伍禁忌审查子模块,用于对两种或多种药物之间可能存在的配伍禁忌进行审查,并生成相应的审查日志;A drug compatibility contraindication sub-module for reviewing possible contraindications between two or more drugs and generating a corresponding review log;
药品使用禁忌审查子模块,用于对药品使用禁忌证进行审查,并生成相应的审查日志;The drug use contraindication sub-module is used to review the contraindications for drug use and generate a corresponding review log;
药品过敏反应审查子模块,用于根据患者过敏源对其在用药物进行审查,并生成相应的审查日志;The drug allergy reaction review sub-module is used to review the drugs in use according to the patient's allergens and generate a corresponding review log;
药品不良反应审查子模块,用于对可能引发患者不良反应的药物进行审查,并生成相应的审查日志;An adverse drug reaction review sub-module for reviewing drugs that may cause adverse reactions in patients and generating a corresponding review log;
老年人用药审查子模块,用于对老年人用药进行安全审查,并生成相应的审查日志;The elderly drug review sub-module is used for safety review of elderly drugs and generates a corresponding review log;
儿童用药审查子模块,用于对各年龄儿童用药进行安全审查,并生成相应的审查日志;The child medication review sub-module is used for safety review of medications for children of all ages and generates a corresponding review log;
妊娠妇女用药审查子模块,用于对妇女孕期用药进行安全审查,并生成相应的审查日志;The Pregnancy Women's Drug Examination sub-module is used to conduct a safety review of women's medication during pregnancy and generate a corresponding review log;
哺乳期妇女用药审查子模块,用于对哺乳期妇女用药进行安全审查,并生成相应的审查日志;The lactation women's medication review sub-module is used for the safety review of lactating women's medication and generates a corresponding review log;
肝功能异常用药审查子模块,用于对肝功能异常患者用药进行安全审查,并生成相应的审查日志;The liver function abnormal drug review sub-module is used for safety review of drugs for patients with abnormal liver function, and generates a corresponding review log;
肾功能异常用药审查子模块,用于对肾功能异常患者用药进行安全审查,并生成相应的审查日志;The renal dysfunction medication review sub-module is used for safety review of patients with renal dysfunction and generates a corresponding review log;
给药剂量审查子模块,用于对给药剂量进行安全审查,并生成相应的审查日志;A dosing sub-module for performing a safety review of the administered dose and generating a corresponding review log;
给药途径审查子模块,用于对给药途径进行安全审查,并生成相应的审查日志;A drug delivery route review sub-module for performing a safety review of the route of administration and generating a corresponding review log;
个体化给药审查子模块,用于当处方中出现治疗窗窄的药物时,自动提示使用此药需要进行监测的项目和注意事项;The individualized drug administration review sub-module is used to automatically prompt the items and precautions for monitoring when the drug has a narrow therapeutic window in the prescription;
重复用药审查子模块,用于对重复成份的药品进行安全审查,并生成相应的审查日志。The re-use review sub-module is used for security review of drugs with repeated ingredients and generates a corresponding review log.
优选地,所述处方监测与预警模块包括: Preferably, the prescription monitoring and early warning module comprises:
处方评估子模块,用于对所述处方进行统计评估,并生成相应的评估表格;a prescription evaluation sub-module for statistically evaluating the prescription and generating a corresponding evaluation form;
处方预警子模块,用于根据所述审查日志,针对所述处方中存在的相应问题,生成相应的预警信息。The prescription warning sub-module is configured to generate corresponding warning information according to the review log according to the corresponding problem existing in the prescription.
优选地,所述处方评估子模块进一步包括:Preferably, the prescription evaluation sub-module further comprises:
抽样处方评估单元,用于对被抽样的所述处方进行统计分析,并生成处方点评工作表;a sample prescription evaluation unit for performing statistical analysis on the sample to be sampled and generating a prescription review worksheet;
门诊处方点评单元,用于对当前点评表中的处方进行人工点评,并记录点评结果,生成上报卫生部的点评表格,以及用于查看历史点评表;An outpatient prescription review unit for manually reviewing the prescriptions in the current review form, and recording the review results, generating a review form reported to the Ministry of Health, and for viewing the historical review form;
全样本处方评估单元,用于对全样本的所述处方进行评估,生成相应的评估表格;a full sample prescription evaluation unit for evaluating the prescription of the whole sample and generating a corresponding evaluation form;
处方指标评估单元,用于对所述处方的具体用药指标进行统计评估,生成相应的评估表格。The prescription index evaluation unit is configured to perform statistical evaluation on specific prescription indicators of the prescription, and generate a corresponding evaluation form.
优选地,所述处方预警子模块包括:Preferably, the prescription warning sub-module comprises:
药品不良反应预警单元,用于根据所述审查日志对同一种药物在临床使用中预定时间连续出现的不良反应问题进行统计,并在不良反应问题出现次数达到相应阈值时,发出药品不良反应预警信息;The drug adverse reaction early warning unit is configured to perform statistics on the adverse reaction problems of the same drug in a predetermined period of time in the clinical use according to the review log, and issue an early warning information of the adverse drug reaction when the number of occurrences of the adverse reaction problem reaches a corresponding threshold value ;
配伍禁忌预警单元,用于根据所述审查日志对同一组药物在临床使用中预定时间连续出现的配伍禁忌问题进行统计,并在配伍禁忌问题出现次数达到相应阈值时,发出配伍禁忌预警信息;The incompatibility warning unit is configured to perform statistics on the incompatibility problems of the same group of drugs in a predetermined period of time in clinical use according to the examination log, and issue a contraindication warning information when the number of incompatibility problems reaches a corresponding threshold;
相互作用预警单元,用于根据所述审查日志对同一组药物在临床使用中预定时间连续出现的相互作用问题进行统计,并在相互作用问题出现次数达到相应阈值时,发出相互作用预警信息;The interaction early warning unit is configured to perform statistics on the interaction problems of the same group of drugs in a predetermined period of time in clinical use according to the examination log, and issue an interaction early warning information when the number of occurrences of the interaction problem reaches a corresponding threshold;
禁忌症预警单元,用于根据所述审查日志对对同一种药物在临床使用中预定时间连续出现的禁忌证问题进行统计,并在禁忌证问题出现次数达到相应阈值时,发出禁忌证预警信息。The contraindication warning unit is configured to perform statistics on contraindications for consecutive occurrences of the same drug in a clinical use according to the review log, and issue a contraindication warning message when the number of occurrences of the contraindication syndrome reaches a corresponding threshold.
优选地,所述系统还包括:合理用药监管模块;Preferably, the system further comprises: a rational medication supervision module;
所述安全用药审查模块,在根据所述处方对患者的用药安全情况进行审查过程中,如果发现用药安全问题,将记录相应的警示信息至所述审查日志中;The safe medication review module, in the process of reviewing the patient's medication safety according to the prescription, if the medication safety problem is found, the corresponding warning information will be recorded in the examination log;
所述合理用药监管模块,用于根据所述审查日志对所述警示信息进行统计和查询。The rational medication supervision module is configured to perform statistics and query on the warning information according to the examination log.
优选地,所述系统还包括:Preferably, the system further comprises:
抗菌药物管理模块,用于对抗菌药物进行分级授权管理,以及对抗菌药物的实际使用情况进行查询和统计分析。The antibacterial drug management module is used for hierarchical authorization management of antibacterial drugs, as well as querying and statistical analysis of the actual use of antibacterial drugs.
优选地,所述抗菌药物管理模块包括:Preferably, the antibacterial drug management module comprises:
分级管理子模块,用于设定抗菌药物的级别,医生使用抗菌药物的权限,并审查医生对抗菌药物的使用是否符合规定,记录审查结果;A hierarchical management sub-module for setting the level of antibacterial drugs, the authority of doctors to use antibacterial drugs, and reviewing whether doctors use antibiotics in compliance with regulations and recording the results of the review;
越权统计子模块,用于按照科室或者医生统计越权使用抗菌药物的情况;The sub-quantitative statistics sub-module is used to use antibacterial drugs in violation of the department or doctor's statistics;
用量排序子模块,用于按照不同抗菌药物在预定时间段内的使用量,对抗菌药物进行排序;The usage sorting sub-module is used for sorting the antibacterial drugs according to the usage amount of different antibacterial drugs in a predetermined period of time;
使用情况查询子模块,用于按照科室、医生查询相应抗菌药物的用量、累计DDD或者金额;The usage query sub-module is used to query the amount of the corresponding antibacterial drug, the cumulative DDD or the amount according to the department and the doctor;
用药指标子模块,用于统计病人在住院期间使用抗菌药物的相应指标;The medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibiotics during hospitalization;
预防用药指标子模块,用于统计病人在住院期间清洁手术预防使用抗菌药物的相应指标。The preventive medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibacterial drugs during cleansing during hospitalization.
优选地,所述系统还包括:在线医药知识库模块,用于通过检索后台数据库提供医药相关信息的查询服务;Preferably, the system further comprises: an online medical knowledge base module, configured to provide a query service for medical related information by retrieving a back-end database;
所述在线医药知识库模块进一步包括:The online medical knowledge base module further includes:
药品说明书子模块,用于查询SFDA批准的中西药品说明书;The drug product sub-module is used to query the Chinese and Western drug product specifications approved by the SFDA;
治疗用药子模块,用于查询疾病的诊疗参考信息;The therapeutic drug sub-module is used for querying medical diagnosis reference information;
标准治疗指南子模块,用于查询多种疾病的行业标准治疗指南;Standard treatment guidelines sub-module for industry-standard treatment guidelines for multiple diseases;
临床路径子模块,用于查询多种疾病的临床路径;Clinical pathway sub-module for querying clinical pathways for multiple diseases;
妊娠期用药安全性分级子模块,用于按药品分级和药品名称检索妊娠期用药安全性分级信息;Pregnancy medication safety classification sub-module for searching the classification safety information of pregnancy medication according to drug classification and drug name;
抗菌药物政策子模块,用于查询抗菌药物临床应用相关的政策文件;Antibacterial drug policy sub-module for querying policy documents related to the clinical application of antibacterial drugs;
个体化给药子模块,用于查询治疗窗窄的药品列表、治疗窗窄的相关药品的检验项目、血液采集时间和血药浓度范围;The individualized drug sub-module is used for querying a drug list with a narrow therapeutic window, a test item for a related medicine with a narrow therapeutic window, a blood collection time, and a blood drug concentration range;
检验正常值子模块,用于查询临床检验正常值及意义;The normal value sub-module is tested for querying the normal value and significance of the clinical test;
计算公式子模块,用于查询医学相关的计算公式;A calculation formula sub-module for querying a medically relevant calculation formula;
医药法规子模块,用于查询查询国家医政、药政、卫生应急的相关内容。 The medical regulations sub-module is used to query the relevant contents of the national medical administration, drug administration, and health emergency.
(三)有益效果(3) Beneficial effects
本发明的临床用药决策支持系统,针对患者病理生理信息自动提供用药方案,协助医生开具处方,并对处方进行安全审查,以及对处方进行评估,对审查结果进行预警,显著提高了临床用药的安全性、规范化和标准化,规避了医院的用药差错,防范了医疗风险,减少了医患纠纷,提高了医疗质量;同时,通过设置所述抗菌药物管理模块,实现了对抗菌药物的有效管理和监控,进一步提高了临床用药的安全性。The clinical drug decision support system of the invention automatically provides a medication plan for the patient's pathophysiological information, assists the doctor to prescribe the prescription, conducts a safety review of the prescription, evaluates the prescription, and provides early warning of the examination result, which significantly improves the safety of the clinical medication. Sex, standardization and standardization, avoiding medication errors in hospitals, preventing medical risks, reducing disputes between doctors and patients, and improving medical quality. At the same time, through the establishment of the antibacterial drug management module, effective management and monitoring of antibacterial drugs is realized. , further improve the safety of clinical medication.
附图说明DRAWINGS
图1是本发明实施例所述临床用药决策支持系统的模块结构示意图。1 is a block diagram showing the structure of a clinical medication decision support system according to an embodiment of the present invention.
具体实施方式detailed description
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。The present invention will be further described in detail below with reference to the accompanying drawings and embodiments. It is understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
图1是本发明实施例所述临床用药决策支持系统的模块结构示意图。如图1所示,所述系统包括:治疗用药规范模块100、安全用药审查模块200、处方监测与预警模块300、合理用药监管模块400、抗菌药物管理模块500和在线医药知识库模块600。1 is a block diagram showing the structure of a clinical medication decision support system according to an embodiment of the present invention. As shown in FIG. 1, the system includes a therapeutic medication specification module 100, a safety medication examination module 200, a prescription monitoring and early warning module 300, a rational medication supervision module 400, an antibacterial medication management module 500, and an online medical knowledge base module 600.
所述治疗用药规范模块100,用于根据患者的病理生理信息提供诊疗参考信息和用药参考方案,以供医生开具处方。The therapeutic medication specification module 100 is configured to provide medical treatment reference information and a medication reference scheme according to the patient's pathophysiological information for the doctor to prescribe.
所述安全用药审查模块200,用于根据所述处方对患者的用药安全情况进行审查,并生成审查日志。在审查过程中,如果发现用药安全问题,将记录相应的警示信息至所述审查日志中;同时,会提示医生重新开具处方,并对重新开具的处方再次进行审查。这里的审查包括针对某一疾病的药物的审查,以及针对该疾病的并发症的药物的审查。The safe medication review module 200 is configured to review the medication safety of the patient according to the prescription, and generate an examination log. During the review process, if the medication safety problem is found, the corresponding warning information will be recorded in the examination log; at the same time, the doctor will be prompted to re-apply the prescription and review the re-opened prescription again. The review here includes a review of the drug for a disease and a review of the drug for the complication of the disease.
所述处方监测与预警模块300,用于对所述处方进行评估,以及根据所述审查日志生成预警信息。The prescription monitoring and early warning module 300 is configured to evaluate the prescription and generate early warning information according to the examination log.
所述合理用药监管模块400,用于根据所述审查日志对所述警示信息进行统计和查询。The reasonable medication supervision module 400 is configured to perform statistics and query on the warning information according to the examination log.
所述抗菌药物管理模块500,用于对抗菌药物进行分级授权管理,以及对抗菌药物的实际使用情况进行查询和统计分析。The antibacterial drug management module 500 is used for hierarchical authorization management of antibacterial drugs, and for querying and statistical analysis of actual use of antibacterial drugs.
所述在线医药知识库模块600,用于通过检索后台数据库提供医药相关信息的查询服务。The online medical knowledge base module 600 is configured to provide a query service for providing medical related information by searching a backstage database.
所述治疗用药规范模块100包括: The therapeutic medication specification module 100 includes:
疾病诊疗子模块,用于根据患者的病理生理信息查询后台数据库,然后提供疾病的诊疗参考信息。当患者的病理生理信息通过输入设备输入到疾病诊疗子模块,疾病诊疗子模块将患者病理生理信息通过后台数据库与临床常见病和高发病的病理生理信息进行,当患者病理生理信息在所述后台数据库内时,首先显示该病理生理信息对应的疾病的诊疗参考信息,包括疾病概述、诊断依据、鉴别诊断、临床分型、药物治疗、并发症治疗、病情监测等相关内容。The disease diagnosis and treatment sub-module is used for querying the background database according to the patient's pathophysiological information, and then providing medical diagnosis and treatment reference information. When the patient's pathophysiological information is input to the disease diagnosis and treatment sub-module through the input device, the disease diagnosis and treatment sub-module carries the patient's pathophysiological information through the background database and the pathological and physiological information of the common common disease and high incidence, when the patient's pathophysiological information is in the background. In the database, firstly, the medical and surgical reference information of the disease corresponding to the pathophysiological information is displayed, including disease summary, diagnosis basis, differential diagnosis, clinical classification, drug treatment, complication treatment, condition monitoring and the like.
治疗用药子模块,用于根据所述诊疗参考信息给出至少一种用药参考方案,以供医生作为处方选用。所述用药参考方案中包括具体的用药标准。The therapeutic drug sub-module is configured to provide at least one medication reference plan according to the medical reference information for use by a doctor as a prescription. The medication reference protocol includes specific medication standards.
所述安全用药审查模块200进一步包括:The safe medication review module 200 further includes:
药物相互作用审查子模块,用于对两种或多种药物同时或间隔一定时间给药,可能出现的药物相互作用进行审查,并生成相应的审查日志。A drug interaction review sub-module for reviewing two or more drugs at the same time or at intervals, reviewing possible drug interactions, and generating a corresponding review log.
药品配伍禁忌审查子模块,用于对两种或多种药物之间可能存在的配伍禁忌进行审查,并生成相应的审查日志。A drug incompatibility review sub-module for reviewing possible contraindications between two or more drugs and generating a corresponding review log.
药品使用禁忌审查子模块,用于对药品使用禁忌证进行审查,并生成相应的审查日志。The drug use contraindication sub-module is used to review the contraindications for drug use and generate a corresponding review log.
药品过敏反应审查子模块,用于根据患者过敏源对其在用药物进行审查,并生成相应的审查日志。The drug allergy reaction review sub-module is used to review the drugs in use according to the patient's allergens and generate a corresponding review log.
药品不良反应审查子模块,用于对可能引发患者不良反应的药物进行审查,并生成相应的审查日志。The Adverse Drug Reactions Review sub-module is used to review drugs that may cause adverse reactions in patients and generate a corresponding review log.
老年人用药审查子模块,用于对老年人用药进行安全审查,并生成相应的审查日志。The elderly drug review sub-module is used for safety review of elderly drugs and generates a corresponding review log.
儿童用药审查子模块,用于对各年龄儿童用药进行安全审查,并生成相应的审查日志。The Children's Drug Examination sub-module is used for safety review of medications for children of all ages and generates a corresponding review log.
妊娠妇女用药审查子模块,用于对妇女孕期用药进行安全审查,并生成相应的审查日志。The Pregnancy Women's Drug Examining Module is used to conduct a safety review of women's medication during pregnancy and to generate a corresponding review log.
哺乳期妇女用药审查子模块,用于对哺乳期妇女用药进行安全审查,并生成相应的审查日志。The lactation women's medication review sub-module is used for the safety review of lactating women's medications and generates a corresponding review log.
肝功能异常用药审查子模块,用于对肝功能异常患者用药进行安全审查,并生成相应的审查日志。The liver function abnormal drug review sub-module is used for safety review of drugs for patients with abnormal liver function, and generates a corresponding review log.
肾功能异常用药审查子模块,用于对肾功能异常患者用药进行安全审查,并生成相应的审查日志。The renal dysfunction medication review sub-module is used for safety review of patients with renal dysfunction and generates a corresponding review log.
给药剂量审查子模块,用于对给药剂量进行安全审查,并生成相应的审查日志。A dosing sub-module is administered to perform a safety review of the administered dose and generate a corresponding review log.
给药途径审查子模块,用于对给药途径进行安全审查,并生成相应的审查日志。A route of administration review sub-module for performing a safety review of the route of administration and generating a corresponding review log.
个体化给药审查子模块,用于当处方中出现治疗窗窄的药物时,自动提示使用此药需要进行监测的项目和注意事项。所述治疗窗窄的药物至少包括:环孢素、地高辛、氟卡尼、锂制剂、苯妥英、西罗莫司、他克莫司、茶碱、华法林。The individualized drug administration review sub-module is used to automatically prompt the items and precautions that need to be monitored when the drug with a narrow therapeutic window appears in the prescription. The drug having a narrow therapeutic window includes at least: cyclosporine, digoxin, flecainide, lithium preparation, phenytoin, sirolimus, tacrolimus, theophylline, warfarin.
重复用药审查子模块,用于对重复成份的药品进行安全审查,并生成相应的审查日志。The re-use review sub-module is used for security review of drugs with repeated ingredients and generates a corresponding review log.
所述处方监测与预警模块300包括: The prescription monitoring and early warning module 300 includes:
处方评估子模块,用于对所述处方进行统计评估,并生成相应的评估表格。A prescription evaluation sub-module for statistically evaluating the prescription and generating a corresponding evaluation form.
所述处方评估子模块进一步包括:The prescription evaluation sub-module further includes:
抽样处方评估单元,用于对被抽样的所述处方进行统计分析,并生成处方点评工作表。A sample prescription evaluation unit is configured to perform statistical analysis on the sample to be sampled and generate a prescription review worksheet.
门诊处方点评单元,用于对当前点评表中的处方进行人工点评,并记录点评结果,生成上报卫生部的点评表格,以及用于查看历史点评表。The outpatient prescription review unit is used for manual review of the prescriptions in the current review form, and records the review results, generates a review form reported to the Ministry of Health, and is used to view the historical review form.
全样本处方评估单元,用于对全样本的所述处方进行评估,生成相应的评估表格。A full sample prescription evaluation unit for evaluating the prescription of the entire sample and generating a corresponding evaluation form.
处方指标评估单元,用于对所述处方的具体用药指标进行统计评估,生成相应的评估表格。The prescription index evaluation unit is configured to perform statistical evaluation on specific prescription indicators of the prescription, and generate a corresponding evaluation form.
处方预警子模块,用于根据所述审查日志,针对所述处方中存在的相应问题,生成相应的预警信息。The prescription warning sub-module is configured to generate corresponding warning information according to the review log according to the corresponding problem existing in the prescription.
所述处方预警子模块包括:The prescription warning sub-module includes:
药品不良反应预警单元,用于根据所述审查日志对同一种药物在临床使用中预定时间连续出现的不良反应问题进行统计,并在不良反应问题出现次数达到相应阈值时,发出药品不良反应预警信息。这里的阈值应该根据实际情况设定,比如设置为5、10或者15等,本实施例中优选设置为10。下述阈值情况相类似,在此不再赘述。The drug adverse reaction early warning unit is configured to perform statistics on the adverse reaction problems of the same drug in a predetermined period of time in the clinical use according to the review log, and issue an early warning information of the adverse drug reaction when the number of occurrences of the adverse reaction problem reaches a corresponding threshold value . The threshold value here should be set according to the actual situation, for example, set to 5, 10 or 15, etc., and is preferably set to 10 in this embodiment. The following threshold conditions are similar and will not be described here.
配伍禁忌预警单元,用于根据所述审查日志对同一组药物在临床使用中预定时间连续出现的配伍禁忌问题进行统计,并在配伍禁忌问题出现次数达到相应阈值时,发出配伍禁忌预警信息。The incompatibility warning unit is used for counting the incompatibility problems of the same group of drugs in the clinical use for a predetermined time according to the examination log, and issuing the incompatibility warning information when the number of incompatibility problems reaches the corresponding threshold.
相互作用预警单元,用于根据所述审查日志对同一组药物在临床使用中预定时间连续出现的相互作用问题进行统计,并在相互作用问题出现次数达到相应阈值时,发出相互作用预警信息;The interaction early warning unit is configured to perform statistics on the interaction problems of the same group of drugs in a predetermined period of time in clinical use according to the examination log, and issue an interaction early warning information when the number of occurrences of the interaction problem reaches a corresponding threshold;
禁忌症预警单元,用于根据所述审查日志对对同一种药物在临床使用中预定时间连续出现的禁忌证问题进行统计,并在禁忌证问题出现次数达到相应阈值时,发出禁忌证预警信息。The contraindication warning unit is configured to perform statistics on contraindications for consecutive occurrences of the same drug in a clinical use according to the review log, and issue a contraindication warning message when the number of occurrences of the contraindication syndrome reaches a corresponding threshold.
所述合理用药监管模块400,用于根据所述审查日志对所述警示信息进行统计和查询。具体地,所述合理用药监管模块400可以在全院范围内按照警示级别对所述警示信息进行统计,可以在全院范围内按照审查类型对所述警示信息进行统计,可以按照科室对所述警示信息进行统计,可以在科室范围内按照审查类型对所述警示信息进行统计,可以按照医生对所述警示信息进行统计,也可以针对不同的医生按照审查类型对所述警示信息进行统计。这里的审查类型对应于安全用药审查模块200的15个子模块,包括药物相互作用、药物配伍禁忌、药物使用禁忌等15种类型。The reasonable medication supervision module 400 is configured to perform statistics and query on the warning information according to the examination log. Specifically, the reasonable medication supervision module 400 may perform statistics on the warning information according to the warning level in the whole hospital, and may perform statistics on the warning information according to the type of examination in the whole hospital, which may be described according to the department. The warning information is counted, and the warning information may be counted according to the type of examination in the department, and the warning information may be counted according to the doctor, or the warning information may be counted according to the type of examination for different doctors. The type of review here corresponds to 15 sub-modules of the safe medication review module 200, including 15 types of drug interactions, drug incompatibility contraindications, and drug use contraindications.
所述抗菌药物管理模块500包括:The antibacterial drug management module 500 includes:
分级管理子模块,用于设定抗菌药物的级别,医生使用抗菌药物的权限,并审查医生对抗菌药物的使用是否符合规定,记录审查结果。The hierarchical management sub-module is used to set the level of antibacterial drugs, the authority of doctors to use antibacterial drugs, and to examine whether doctors use antibiotics in compliance with regulations and record the results of the review.
越权统计子模块,用于按照科室或者医生统计越权使用抗菌药物的情况。The sub-quantitative statistics sub-module is used to use antibacterial drugs in violation of the department or doctor's statistics.
用量排序子模块,用于按照不同抗菌药物在预定时间段内的使用量,对抗菌药物进行排序。The usage sorting sub-module is used to sort the antibacterial drugs according to the usage amount of different antibacterial drugs in a predetermined period of time.
使用情况查询子模块,用于按照科室、医生查询相应抗菌药物的用量、累计DDD(defined daily dose,限定日剂量)或者金额。Usage query sub-module, used to check the amount of antibiotics according to departments and doctors, cumulative DDD (defined daily Dose, limit daily dose) or amount.
用药指标子模块,用于统计病人在住院期间使用抗菌药物的相应指标。The medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibiotics during hospitalization.
预防用药指标子模块,用于统计病人在住院期间清洁手术预防使用抗菌药物的相应指标。The preventive medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibacterial drugs during cleansing during hospitalization.
所述抗菌药物管理模块500,在审查医生对抗菌药物的使用是否符合规定的过程中,其数据来源为HIS(HospitalInformationSystem,医院信息系统)系统,HIS系统实时存储全院的处方数据,所述抗菌药物管理模块500会定期地抽取HIS系统中的处方数据,进而对抗菌药物的使用是否符合规定进行审查,并记录审查结果。The antibacterial drug management module 500, in reviewing whether the doctor's use of the antibacterial drug meets the requirements, the data source is the HIS (Hospital Information System) system, and the HIS system stores the prescription data of the whole hospital in real time, the antibacterial The medication management module 500 periodically extracts prescription data from the HIS system, and then reviews whether the use of the antimicrobial drug meets the requirements, and records the results of the review.
所述在线医药知识库模块600进一步包括:The online medical knowledge base module 600 further includes:
药品说明书子模块,用于查询SFDA(国家食品药品监督局)批准的中西药品说明书;The drug product sub-module is used to query the Chinese and Western drug product manual approved by the SFDA (National Food and Drug Administration);
治疗用药子模块,用于查询疾病的诊疗参考信息;The therapeutic drug sub-module is used for querying medical diagnosis reference information;
标准治疗指南子模块,用于查询多种疾病的行业标准治疗指南;Standard treatment guidelines sub-module for industry-standard treatment guidelines for multiple diseases;
临床路径子模块,用于查询多种疾病的临床路径;Clinical pathway sub-module for querying clinical pathways for multiple diseases;
妊娠期用药安全性分级子模块,用于按药品分级和药品名称检索妊娠期用药安全性分级信息;Pregnancy medication safety classification sub-module for searching the classification safety information of pregnancy medication according to drug classification and drug name;
抗菌药物政策子模块,用于查询抗菌药物临床应用相关的政策文件;Antibacterial drug policy sub-module for querying policy documents related to the clinical application of antibacterial drugs;
个体化给药子模块,用于查询治疗窗窄的药品列表、治疗窗窄的相关药品的检验项目、血液采集时间和血药浓度范围;The individualized drug sub-module is used for querying a drug list with a narrow therapeutic window, a test item for a related medicine with a narrow therapeutic window, a blood collection time, and a blood drug concentration range;
检验正常值子模块,用于查询临床检验正常值及意义;The normal value sub-module is tested for querying the normal value and significance of the clinical test;
计算公式子模块,用于查询医学相关的计算公式;A calculation formula sub-module for querying a medically relevant calculation formula;
医药法规子模块,用于查询查询国家医政、药政、卫生应急的相关内容。The medical regulations sub-module is used to query the relevant contents of the national medical administration, drug administration, and health emergency.
需要说明的是,所述在线医药知识库模块600中的治疗用药子模块和所述治疗用药规范模块100中的疾病诊疗子模块的功能相近,数据源相近,因此,所述在线医药知识库模块600和所述治疗用药规范模块100采用相同的后台数据库,以节省实施成本。本领域技术人员容易想到,上述两个模块也可以采用不同的后台数据库。It should be noted that the therapeutic medicine sub-module in the online medical knowledge base module 600 and the disease diagnosis and treatment sub-module in the therapeutic medication specification module 100 have similar functions, and the data sources are similar. Therefore, the online medical knowledge base module 600 and the therapeutic medication specification module 100 employ the same back-end database to save implementation costs. Those skilled in the art will readily appreciate that the above two modules may also employ different back-end databases.
本发明实施例所述临床用药决策支持系统,针对患者病理生理信息自动提供用药方案,协助医生开具处方,并对处方进行安全审查,以及对处方进行评估,对审查结果进行预警,显著提高了临床用药的安全性、快捷性和有序化,规避了医院的用药差错,防范了医疗风险,减少了医患纠纷,提高了医疗质量。The clinical drug decision support system according to the embodiment of the invention automatically provides a medication plan for the patient's pathophysiological information, assists the doctor in prescribing a prescription, conducts a safety review of the prescription, and evaluates the prescription, and provides early warning of the examination result, which significantly improves the clinical The safety, speed and order of medications have circumvented the hospital's medication errors, prevented medical risks, reduced doctor-patient disputes, and improved medical quality.
以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、若干变形、等同替换和改进等,均应包含在本发明的保护范围之内。 The above is only the preferred embodiment of the present invention, and is not intended to limit the present invention. Any modifications, variations, equivalents, and improvements made within the spirit and scope of the present invention should be included in the present invention. Within the scope of protection of the invention.
工业实用性Industrial applicability
本发明的临床用药决策支持系统,针对患者病理生理信息自动提供用药方案,协助医生开具处方,并对处方进行安全审查,以及对处方进行评估,对审查结果进行预警,显著提高了临床用药的安全性、快捷性和有序化,规避了医院的用药差错,防范了医疗风险,减少了医患纠纷,提高了医疗质量,具有工业实用性;同时,通过设置所述抗菌药物管理模块,实现了对抗菌药物的有效管理和监控,进一步提高了临床用药的安全性。The clinical drug decision support system of the invention automatically provides a medication plan for the patient's pathophysiological information, assists the doctor to prescribe the prescription, conducts a safety review of the prescription, evaluates the prescription, and provides early warning of the examination result, which significantly improves the safety of the clinical medication. Sex, quickness and ordering, avoiding medication errors in hospitals, preventing medical risks, reducing disputes between doctors and patients, improving medical quality, and industrial applicability; at the same time, by setting up the antibacterial drug management module, The effective management and monitoring of antibacterial drugs further improves the safety of clinical drugs.

Claims (1)

  1. 权 利 要 求 书Claims
    1、一种临床用药决策支持系统,其特征在于,包括: A clinical medication decision support system, comprising:
    治疗用药规范模块,用于根据患者的病理生理信息提供诊疗参考信息和用药参考方案,以供医生开具处方;The therapeutic medication specification module is configured to provide medical reference information and a medication reference scheme according to the patient's pathophysiological information for the doctor to prescribe;
    安全用药审查模块,用于根据所述处方对患者的用药安全情况进行审查,并生成审查日志;a safe medication review module for reviewing the patient's medication safety based on the prescription and generating an examination log;
    处方监测与预警模块,用于对所述处方进行评估,以及根据所述审查日志生成预警信息。A prescription monitoring and early warning module for evaluating the prescription and generating warning information based on the review log.
    2、如权利要求1所述的系统,其特征在于,所述治疗用药规范模块包括: 2. The system of claim 1 wherein said therapeutic medication specification module comprises:
    疾病诊疗子模块,用于根据患者的病理生理信息查询后台数据库,然后提供疾病的诊疗参考信息;The disease diagnosis and treatment sub-module is configured to query a back-end database according to the patient's pathophysiological information, and then provide diagnosis and treatment reference information of the disease;
    治疗用药子模块,用于根据所述诊疗参考信息给出至少一种用药参考方案,以供医生作为处方选用。The therapeutic drug sub-module is configured to provide at least one medication reference plan according to the medical reference information for use by a doctor as a prescription.
    3、如权利要求1所述的系统,其特征在于,所述安全用药审查模块进一步包括:3. The system of claim 1 wherein the safe medication review module further comprises:
    药物相互作用审查子模块,用于对两种或多种药物同时或间隔一定时间给药,可能出现的药物相互作用进行审查,并生成相应的审查日志;A drug interaction review sub-module for administering two or more drugs at the same time or at intervals, reviewing possible drug interactions, and generating a corresponding review log;
    药品配伍禁忌审查子模块,用于对两种或多种药物之间可能存在的配伍禁忌进行审查,并生成相应的审查日志;A drug compatibility contraindication sub-module for reviewing possible contraindications between two or more drugs and generating a corresponding review log;
    药品使用禁忌审查子模块,用于对药品使用禁忌证进行审查,并生成相应的审查日志;The drug use contraindication sub-module is used to review the contraindications for drug use and generate a corresponding review log;
    药品过敏反应审查子模块,用于根据患者过敏源对其在用药物进行审查,并生成相应的审查日志;The drug allergy reaction review sub-module is used to review the drugs in use according to the patient's allergens and generate a corresponding review log;
    药品不良反应审查子模块,用于对可能引发患者不良反应的药物进行审查,并生成相应的审查日志;An adverse drug reaction review sub-module for reviewing drugs that may cause adverse reactions in patients and generating a corresponding review log;
    老年人用药审查子模块,用于对老年人用药进行安全审查,并生成相应的审查日志;The elderly drug review sub-module is used for safety review of elderly drugs and generates a corresponding review log;
    儿童用药审查子模块,用于对各年龄儿童用药进行安全审查,并生成相应的审查日志;The child medication review sub-module is used for safety review of medications for children of all ages and generates a corresponding review log;
    妊娠妇女用药审查子模块,用于对妇女孕期用药进行安全审查,并生成相应的审查日志;The Pregnancy Women's Drug Examination sub-module is used to conduct a safety review of women's medication during pregnancy and generate a corresponding review log;
    哺乳期妇女用药审查子模块,用于对哺乳期妇女用药进行安全审查,并生成相应的审查日志;The lactation women's medication review sub-module is used for the safety review of lactating women's medication and generates a corresponding review log;
    肝功能异常用药审查子模块,用于对肝功能异常患者用药进行安全审查,并生成相应的审查日志;The liver function abnormal drug review sub-module is used for safety review of drugs for patients with abnormal liver function, and generates a corresponding review log;
    肾功能异常用药审查子模块,用于对肾功能异常患者用药进行安全审查,并生成相应的审查日志;The renal dysfunction medication review sub-module is used for safety review of patients with renal dysfunction and generates a corresponding review log;
    给药剂量审查子模块,用于对给药剂量进行安全审查,并生成相应的审查日志;A dosing sub-module for performing a safety review of the administered dose and generating a corresponding review log;
    给药途径审查子模块,用于对给药途径进行安全审查,并生成相应的审查日志;A drug delivery route review sub-module for performing a safety review of the route of administration and generating a corresponding review log;
    个体化给药审查子模块,用于当处方中出现治疗窗窄的药物时,自动提示使用此药需要进行监测的项目和注意事项;The individualized drug administration review sub-module is used to automatically prompt the items and precautions for monitoring when the drug has a narrow therapeutic window in the prescription;
    重复用药审查子模块,用于对重复成份的药品进行安全审查,并生成相应的审查日志。The re-use review sub-module is used for security review of drugs with repeated ingredients and generates a corresponding review log.
    4、如权利要求1所述的系统,其特征在于,所述处方监测与预警模块包括: 4. The system of claim 1 wherein said prescription monitoring and alerting module comprises:
    处方评估子模块,用于对所述处方进行统计评估,并生成相应的评估表格;a prescription evaluation sub-module for statistically evaluating the prescription and generating a corresponding evaluation form;
    处方预警子模块,用于根据所述审查日志,针对所述处方中存在的相应问题,生成相应的预警信息。The prescription warning sub-module is configured to generate corresponding warning information according to the review log according to the corresponding problem existing in the prescription.
    5、如权利要求4所述的系统,其特征在于,所述处方评估子模块进一步包括:5. The system of claim 4, wherein the prescription evaluation sub-module further comprises:
    抽样处方评估单元,用于对被抽样的所述处方进行统计分析,并生成处方点评工作表;a sample prescription evaluation unit for performing statistical analysis on the sample to be sampled and generating a prescription review worksheet;
    门诊处方点评单元,用于对当前点评表中的处方进行人工点评,并记录点评结果,生成上报卫生部的点评表格,以及用于查看历史点评表;An outpatient prescription review unit for manually reviewing the prescriptions in the current review form, and recording the review results, generating a review form reported to the Ministry of Health, and for viewing the historical review form;
    全样本处方评估单元,用于对全样本的所述处方进行评估,生成相应的评估表格;a full sample prescription evaluation unit for evaluating the prescription of the whole sample and generating a corresponding evaluation form;
    处方指标评估单元,用于对所述处方的具体用药指标进行统计评估,生成相应的评估表格。The prescription index evaluation unit is configured to perform statistical evaluation on specific prescription indicators of the prescription, and generate a corresponding evaluation form.
    6、如权利要求4所述的系统,其特征在于,所述处方预警子模块包括:6. The system of claim 4 wherein said prescription alert sub-module comprises:
    药品不良反应预警单元,用于根据所述审查日志对同一种药物在临床使用中预定时间连续出现的不良反应问题进行统计,并在不良反应问题出现次数达到相应阈值时,发出药品不良反应预警信息;The drug adverse reaction early warning unit is configured to perform statistics on the adverse reaction problems of the same drug in a predetermined period of time in the clinical use according to the review log, and issue an early warning information of the adverse drug reaction when the number of occurrences of the adverse reaction problem reaches a corresponding threshold value ;
    配伍禁忌预警单元,用于根据所述审查日志对同一组药物在临床使用中预定时间连续出现的配伍禁忌问题进行统计,并在配伍禁忌问题出现次数达到相应阈值时,发出配伍禁忌预警信息;The incompatibility warning unit is configured to perform statistics on the incompatibility problems of the same group of drugs in a predetermined period of time in clinical use according to the examination log, and issue a contraindication warning information when the number of incompatibility problems reaches a corresponding threshold;
    相互作用预警单元,用于根据所述审查日志对同一组药物在临床使用中预定时间连续出现的相互作用问题进行统计,并在相互作用问题出现次数达到相应阈值时,发出相互作用预警信息;The interaction early warning unit is configured to perform statistics on the interaction problems of the same group of drugs in a predetermined period of time in clinical use according to the examination log, and issue an interaction early warning information when the number of occurrences of the interaction problem reaches a corresponding threshold;
    禁忌症预警单元,用于根据所述审查日志对对同一种药物在临床使用中预定时间连续出现的禁忌证问题进行统计,并在禁忌证问题出现次数达到相应阈值时,发出禁忌证预警信息。The contraindication warning unit is configured to perform statistics on contraindications for consecutive occurrences of the same drug in a clinical use according to the review log, and issue a contraindication warning message when the number of occurrences of the contraindication syndrome reaches a corresponding threshold.
    7、如权利要求1所述的系统,其特征在于,所述系统还包括:合理用药监管模块;7. The system of claim 1 wherein said system further comprises: a rational medication monitoring module;
    所述安全用药审查模块,在根据所述处方对患者的用药安全情况进行审查过程中,如果发现用药安全问题,将记录相应的警示信息至所述审查日志中;The safe medication review module, in the process of reviewing the patient's medication safety according to the prescription, if the medication safety problem is found, the corresponding warning information will be recorded in the examination log;
    所述合理用药监管模块,用于根据所述审查日志对所述警示信息进行统计和查询。The rational medication supervision module is configured to perform statistics and query on the warning information according to the examination log.
    8、如权利要求1所述的系统,其特征在于,所述系统还包括:8. The system of claim 1 wherein the system further comprises:
    抗菌药物管理模块,用于对抗菌药物进行分级授权管理,以及对抗菌药物的实际使用情况进行查询和统计分析。The antibacterial drug management module is used for hierarchical authorization management of antibacterial drugs, as well as querying and statistical analysis of the actual use of antibacterial drugs.
    9、如权利要求8所述的系统,其特征在于,所述抗菌药物管理模块包括:9. The system of claim 8 wherein said antimicrobial management module comprises:
    分级管理子模块,用于设定抗菌药物的级别,医生使用抗菌药物的权限,并审查医生对抗菌药物的使用是否符合规定,记录审查结果;A hierarchical management sub-module for setting the level of antibacterial drugs, the authority of doctors to use antibacterial drugs, and reviewing whether doctors use antibiotics in compliance with regulations and recording the results of the review;
    越权统计子模块,用于按照科室或者医生统计越权使用抗菌药物的情况;The sub-quantitative statistics sub-module is used to use antibacterial drugs in violation of the department or doctor's statistics;
    用量排序子模块,用于按照不同抗菌药物在预定时间段内的使用量,对抗菌药物进行排序;The usage sorting sub-module is used for sorting the antibacterial drugs according to the usage amount of different antibacterial drugs in a predetermined period of time;
    使用情况查询子模块,用于按照科室、医生查询相应抗菌药物的用量、累计DDD或者金额;The usage query sub-module is used to query the amount of the corresponding antibacterial drug, the cumulative DDD or the amount according to the department and the doctor;
    用药指标子模块,用于统计病人在住院期间使用抗菌药物的相应指标;The medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibiotics during hospitalization;
    预防用药指标子模块,用于统计病人在住院期间清洁手术预防使用抗菌药物的相应指标。The preventive medication indicator sub-module is used to count the corresponding indicators of the patient's use of antibacterial drugs during cleansing during hospitalization.
    10、如权利要求1所述的系统,其特征在于,所述系统还包括:在线医药知识库模块,用于通过检索后台数据库提供医药相关信息的查询服务;10. The system of claim 1, wherein the system further comprises: an online medical knowledge base module for providing a query service for providing medical related information by retrieving a back-end database;
    所述在线医药知识库模块进一步包括:The online medical knowledge base module further includes:
    药品说明书子模块,用于查询SFDA批准的中西药品说明书;The drug product sub-module is used to query the Chinese and Western drug product specifications approved by the SFDA;
    治疗用药子模块,用于查询疾病的诊疗参考信息;The therapeutic drug sub-module is used for querying medical diagnosis reference information;
    标准治疗指南子模块,用于查询多种疾病的行业标准治疗指南;Standard treatment guidelines sub-module for industry-standard treatment guidelines for multiple diseases;
    临床路径子模块,用于查询多种疾病的临床路径;Clinical pathway sub-module for querying clinical pathways for multiple diseases;
    妊娠期用药安全性分级子模块,用于按药品分级和药品名称检索妊娠期用药安全性分级信息;Pregnancy medication safety classification sub-module for searching the classification safety information of pregnancy medication according to drug classification and drug name;
    抗菌药物政策子模块,用于查询抗菌药物临床应用相关的政策文件;Antibacterial drug policy sub-module for querying policy documents related to the clinical application of antibacterial drugs;
    个体化给药子模块,用于查询治疗窗窄的药品列表、治疗窗窄的相关药品的检验项目、血液采集时间和血药浓度范围;The individualized drug sub-module is used for querying a drug list with a narrow therapeutic window, a test item for a related medicine with a narrow therapeutic window, a blood collection time, and a blood drug concentration range;
    检验正常值子模块,用于查询临床检验正常值及意义;The normal value sub-module is tested for querying the normal value and significance of the clinical test;
    计算公式子模块,用于查询医学相关的计算公式;A calculation formula sub-module for querying a medically relevant calculation formula;
    医药法规子模块,用于查询查询国家医政、药政、卫生应急的相关内容。The medical regulations sub-module is used to query the relevant contents of the national medical administration, drug administration, and health emergency.
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Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110136844A (en) * 2019-04-18 2019-08-16 复旦大学附属儿科医院 A kind of children's adverse reaction automatic monitoring system and application method based on big data
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
CN110890159A (en) * 2019-11-23 2020-03-17 潍坊学院 Method for evaluating antibacterial drug combination effect by using Excel function
CN111028936A (en) * 2019-12-14 2020-04-17 曹庆恒 Method, system and equipment for medical examination and reasonable compliance analysis of inspection
CN111223571A (en) * 2020-01-06 2020-06-02 中国人民解放军总医院 Adverse drug reaction monitoring method and device, computer equipment and storage medium
CN112102962A (en) * 2020-09-10 2020-12-18 兰州市第二人民医院 Method and system for clinical intervention and effect prognosis data analysis of adjuvant medication
CN112151140A (en) * 2020-11-25 2020-12-29 西藏自治区人民政府驻成都办事处医院 Antibacterial drug clinical application system, electronic device and computer readable storage medium
CN112466429A (en) * 2020-11-30 2021-03-09 渭南市妇幼保健院 Clinical pharmacy guardianship management system
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
CN113704455A (en) * 2021-09-08 2021-11-26 北京大学第三医院(北京大学第三临床医学院) Method and device for constructing pharmaceutical standard test library
CN114283949A (en) * 2021-11-08 2022-04-05 湖南云视数据科技有限责任公司 ADR (adaptive Doppler ratio) aided decision making system based on deep learning
CN116864074A (en) * 2023-09-05 2023-10-10 四川省医学科学院·四川省人民医院 Medicine entering and selecting management system

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101023884A (en) * 2006-02-23 2007-08-29 曾争 Clinic medical smart assistant diagnosis system operated on hand-held smart apparatus
CN102012974A (en) * 2010-12-15 2011-04-13 中国人民解放军第四军医大学 Clinical safe and rational administration decision support system

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101023884A (en) * 2006-02-23 2007-08-29 曾争 Clinic medical smart assistant diagnosis system operated on hand-held smart apparatus
CN102012974A (en) * 2010-12-15 2011-04-13 中国人民解放军第四军医大学 Clinical safe and rational administration decision support system

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
CHINESE MASTER'S THESES FULL-TEXT DATABASE, no. 4, 15 April 2012 (2012-04-15), pages 5 - 31 *
XU, WEI., ANALYSIS AND DESIGN OF PHYSIC DECISION SAFETY SUPPORT SYSTEM *

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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
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CN110890159A (en) * 2019-11-23 2020-03-17 潍坊学院 Method for evaluating antibacterial drug combination effect by using Excel function
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