目的 介绍我院基于浏览器/服务器模式(B/S,Browser/Server)与客户/服务器模式(C/S,Client/Server)混合架构的门急诊处方前置审核系统的设计方案及其实施情况。方法 阐述我院门急诊处方前置审核系统的总体设计、审核个性化指标等方面阐述该系统的核心技术及实现过程,统计2017年1月~2018年5月的处方合理率,采用间断序列时间分析(interrupted time serise,ITS),分析该系统实施后门诊处方合格率变化。结果 处方前置审核系统在我院的实施实现了门诊处方的智能审核,2018年1月审核系统开始上线,系统共审核处方501 986张,拦截不合格处方31 161张,处方合格率显著提升。结论 门急诊处方前置审核系统在我院成功开展,提升了我院的合理用药水平,是值得考虑推广的医疗服务模式。
Abstract
OBJECTIVE To present the design scheme of up-front outpatient prescription review system based on C/S (Client/Server) & B/S (Browser/Server) mixed-architecture in our hospital. METHODS The core-technology and implementation procedure of up-front outpatient prescription review system were elaborated at length from the aspects of overall design, system developing environment,system function modules,realization of individualized review indexes, etc. At the same time, interrupted time series(ITS) analysis was used to analyze the changes in qualification rate of outpatient prescriptions. RESULTS The implementation of up-front outpatient prescription review system reduced the rate of unqualified prescriptions effectively. During the implementation period, a total of 501 986 prescriptions were examined, and 31 161 prescriptions were successfully intervened. The qualification rate of prescription increased significantly. CONCLUSION Up-front prescription review/intervention system is successfully developed in our hospital and is deserved to be generalized to promote rational use of drugs.
关键词
处方 /
前置审核系统 /
间断序列时间分析
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Key words
prescription /
up-front prescription review system /
interrupted time series
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中图分类号：
R952
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参考文献
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