The informationization brings the pharmacy of the hospital into the new realm

The informationization brings the pharmacy of the hospital into the new realm
With the development of informationization, the function that it is not merely catalyst that IT technology built playing to the pharmacy of the hospital, the informationization is run through in a plurality of fields of pharmacy of hospital. At learning academic annual meeting and the eighth Chinese pharmacist the Zhou 's in 2008 China medicines, pharmacy and application of IT technology of the hospital become the hot topic of the pharmacy workers of the hospital. Staff officer Chinese medicine society's Vice President Li DaKui of the procurement management of medicines says, because most hospitals have computerized, the source of the data is high quality, the amount of information is large, make Chinese medicine society national medical Economic Information Network can offer the basic data really of the administration of the hospital, play a role in serving country and trade. According to the introduction of second army medical university Changhai hospital medicine director of department of the Chinese Academy of Sciences Hu JinHong, the traditional medical procurement management style is to deal with the requirement that medicines employ through strengthening the medicines storage level, question such as being long, with difficult fund turnover with large volume of stock that it will cause and purchase cycle that in this way. It is medicines that it is thorny even more often because purchase and does not happen in time in short supplily, have brought a lot of trouble. Every department has set up the online transmission function of information through the computer network now, make dispensary, drug storage and every department can know the consumption of medicines, volume of stock fast and accurately, prevent the pharmacist from making the error operated only by hand. Carry on fast statistical analysis to flowing amount of the whole institute medicines and nearly result warning information of a issue of medicines in addition, have offered intact and accurate information for the fact that the purchase of medicines is operated, has changed the traditional medical procurement mode of the hospital. The pharmacist still can know many kinds of demands in the routine, in order to understand the information of flowing of the whole institute medicines in an all-round way in time, have prevented the extrusion of stock medicines from being overdue effectively, has lightened the pressure of medicines management of pharmacy dept.. Li DaKui says, information construction is not a form, will not only write and change into the computer operation by hand, but emphasize the figure focuses on promoting the innovation of the medical service mode to the objective function of management. The intersection of helper and the intersection of Peking University and first hospital the intersection of admissions office and dispensary that prescription check responsible for the whole the intersection of institute and 40 inpatient area in hospital the intersection of patient and the intersection of oral medicine and form dosage wave medicine and work, the work load is big, time is centralized, but to verifying the work of the doctor's order form, the pharmacists do not dare to slack off. Group leader Liu Li's new statement of the dispensary: "Our dispensary is examined and then pass change course two times, form three procedures. We are that every form relied on PASS system to examine the side initially, we made pendulum medicines and verified the procedure recently. While putting medicines, according to wave medicine, check procedure require pharmacist want, see clearly what medicine patient spend first, it is long-term doctor's orders or temporary doctor's orders, belong to and endanger medicines and need to monitor the assortment of the medicine density of blood high, such as theophylline, digoxin, morality Ba Jin,etc.; And then consider whether the dosage form, dosage and usage consumption of medicines are correct, etc; The third procedure is a focal point that come out screening and has doctor's order form of doubt, and newly organize clinical application and consult paying and verifying again through PASS system. " In recent years, many hospitals have set up intravenous medicine to allocate the centre (PIVAS) ,The applying to medicines allocating, logistics of computer network and bar code has served as the helper's function while managing. Hu JinHong introduces, PIVAS is the place that patient's intravenous administration concentrates on allocating, according to the characteristic of the medicine, the pharmacist carries on the mix of the intravenous nutrient liquid, toxic medicine of cell and antibiotic according to the operational policy strictly, offer the intravenous infusion of high quality for clinical medical treatment. The traditional PIVAS business procedure is complicated, there are many links, make the doctor's order to begin to go through a nurse and transfer from the doctor to and copy the doctor's order, the pharmacist examines the side, check, print swabs, arrange medicines, check in compatibility, the medicine is formulated, check, send medicine to inpatient area, nurse and check, give patients link such as administration finally twice, there is many number of people gone through, unavoidably make mistake on the way. Hu JinHong says, uses external experience for reference, a lot of hospitals have chosen the bar code. The doctor changes the information of the doctor's order into the information of the bar code while making the doctor's order, the pharmacist, produce links of medicine and patient,etc. and all furnished with the bar code, yard can confirm whether what information is transmitted is correct or not so long as nurse and pharmacist sweep through the instrument, have offered the guarantee for accurate administration. According to counting in the courtyard of Changhai hospital, the application of the technology of the bar code can reduce dosage and dosage form mistake of the pharmacist and 100% of nurse, 92% of the dosage omits the mistake, 77% of the administration time mistakes. In our all very busy time, it displays superiority further. If make mistake, record through the state of the bar code, can look for the reason, distinguish the duty, this can produce a pharmacist and examine and supervise function. Shandong University the intersection of Shandong and hospital Liu say correct doctor's order prerequisite to allocate medicines in form new year. " prescription management " stipulates, check the doctor's order form is the pharmacist's responsibility, the verification that they went on to the doctor's order form through the computer network system of the hospital. Since the 2004, allocate intravenous the intersection of medicines and about 120,000 / moon rationally while being correct, the doctor's order form supervised, feedbacked and counted roughly 1100 per month. At present, there is not one that allocate the clinical bad infusion of quality and react in the report about PIVAS, embody superiority of PIVAS. Monitor medicine bodyguard of bad reaction the wave is said eastern dawn such as Zhai such as pharmacy dept. such as hospital such as Shanghai: "The bad incident of medicine of the domestic hospital happens occasionally now, but these are not medicine quality problems completely. " Some medicine bad incidents are caused by unreasonable administration, such as the prescription violates medicine taboo disease, antibiotic dosage too big, these have, be can prevented partially while being significant. This courtyard of pharmacy dept.s have already begun to use intelligently to use medicine the monitoring system monitor the medicine taboo and dosage of antibiotic. XiaoBo Zhai say through regard some courtyard respiratory medicine as experimental subjects, with intelligent to use medicine monitoring system and CPM - -Antibiotic ideal the intersection of curve and edition examine 3 month prescription in the time slot, check taboo that publish disease be warned and the antibiotic dosage mistake will be put in order, compare with the situation intervention and before intervening, after finding that underwent intervention, 1/4 before taboo and antibiotic dosage mistake of using medicine are intervened respectively and half. It is introduced, these two medicine bad reactions can offer individual rational administration to monitor to monitor the software, input patient's information into the software, and then input medicine information such as the medicine matching, dosage, the system will offer the taboo disease prewarning and prewarning of dosage according to patient's actual conditions and medicine situation. Medicines elite that automation adjust, for many years, hospital because dispensary adjust, make mistake, bring to patient unnecessary injury obvious to all, various to cause the reason for adjusting the mistake, but majority pharmacist wave medicine, send medicine, because package of medicines and chemical reagents similar to and computer it inputs to be wrong and environment interfere with and the intersection of sense of responsibility and the intersection of not strong, working intensity and reason such as being loud cause. In recent years, some medicine Treat the organization in order to reduce the drug therapy mistake and lighten pharmacist's work load, adjust the apparatus after introducing automation. Does Hu JinHong says, medicine of Changhai? The writing brush passes on the distant uncut jade of far ����'s human skull of rice and is defeated by the roof beam of Xi ��'s human skull �� completely She gangue Does � raise the bad-tempered beginning Tuo Pai? 0%. The mistake that the inevitable pharmacist of medicine calculates the respect is put by hand in the tradition, and deal with hundreds and thousands of kinds of medicines to put, the possibility that the mistake happens is still very high, in addition the medicine cup or medicine bag lacks distinct medicines to annotate, the mistake will happen too when the nurse puts again to use medicine. Wave medicine machine, can realize, take orally single dosage wave automation of medicine, run not merely automatically, and can put medicines from a plurality of and reduce and stop the emergence of the mistake for medicine links. PLA general hospital medicines ensure Guo DaiHong, director of centre, to say, adjust the application of the apparatus in automation, set up on the foundation of informationization development of the hospital. For example the one that used in their hospital sent the medicine system automatically, just collected clinical pharmacy, computer science, automatic control technology and machinery to design in an organic whole, have realized the outpatient pharmacy/Outpatient dispensary includes prescription inputting, reasonable administration checking, medicine incompatibility, rowing price printing, statistical analysis and medicine and releasing the automation of the course automatically. So long as the pharmacist presses the prescription and strokes, can get necessary medicines rapidly, accurately against the computer keyboard, thus lighten labour intensity, raise, take place, make up a prescription speed and shorten behind the class counting, taking place medicine quantity speeding, and can serve as terminal machine of the central computer of the hospital.

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