Innovative Practice of Information Construction for Rational Drug Use in a Hospital
Objective To improve the efficiency of pharmaceutical administration in a hospital,and to promote the rational drug use in clinical practice.Methods Based on the knowledge database of the original rational drug use information system,the Department of Pharmacy of the hospital constructed a problem-based dual-joint working mechanism,which mainly included that information pharmacists constructed a control plan for the medication problems found by the clinical pharmacists in the prescription comment,formulated the control rules,improved continuously the knowledge database,and carry out the intervention in the pre-review of prescription and medical orders through information technology.On this basis,a systematic control plan was constructed for key items such as outpatient indications,perioperative antibiotics and anti-tumor drug management.Results A total of 5 266 rules in the basic knowledge database were improved and optimized from 2020 to 2022,and a self-defined knowledge database with 564 self-defined rules was constructed,four upgrades of the rational drug use information system and 32 items of system innovation and improvement were finished.There was a significant improvement in pharmaceutical administration indicators such as the increase in average outpatient/inpatient drug costs,the rational rate of outpatient prescriptions,the rational rate of inpatient orders and the antibiotics use density.Conclusion The construction of a comprehensive regulatory system for rational drug use can effectively improve the hospital pharmaceutical administration level and pharmaceutical care ability,and promote the rational drug use in the clinic.
rational drug use information systemknowledge databaseproblem-basedworking mechanismpharmaceutical administrationpharmaceutical care
万方数据
维普
