How to apply computer information technology infusion and medication errors

1 Overview

Drugs like "double-edged can cure illnesses, or you may cause serious adverse effects, drug of this duality is dependent on the medication is justified.

Unreasonable use of a very serious problem, the need for rational drug use should not be questioned, the question is what means should be adopted in order to prevent unreasonable use.

Prevention means of irrational use are: implementing clinical pharmacist review system; physicians, nurse, pharmacy personnel qualification examination and approval system; the use of "reasonable use" review software, for rational drug use review.

United States in implementing clinical pharmacist review system Foundation, established in 1992, the Federal regulations require that all hospitals and pharmacies using computers rational drug use review software, the rationality of the medications reviewed.

Through the use of rational drug use review software, United States of unreasonable prescriptions from 20% to 5%. Indicates that the application of computer information technologies for the rational use of medicines is the most effective means.

Domestic hospitals lack clinical pharmacist supervision, on the unreasonable use of preventive effect depends primarily on the prescription of a physician, nurse and pharmacist staff's personal experience, prevention of limited effect.

There is an urgent need to adopt computer information technology, in the clinical doctor's prescription for reasonableness reviews, auxiliary physicians against unreasonable use. To this end, the Ministry of health, April 2002, the hospital information management system basic functional specifications, requirements for nosocomial computer information system, you must have a rational drug use review function.

WHO advocates can oral therapy for the patient, try not to use infusion therapy.

But in recent years, the use of transfusion therapy patient almost became the preferred hospitals in China, there are more than 85% of the patients and more than 25% of patients treated with intravenous therapy. Because of the particularity of infusion therapies, drugs are not through the skin and gastrointestinal tract of shielding and buffer, directly into the blood circulation, and reasonable infusion-related factors, such as the patient's condition, the kind of dehydration, electrolyte balance, acid-base balance, and other problems are very complex. So a transfusion medicine in other ways drugs (oral, topical, etc.) are more likely to cause harm to patient medical accident, life and safety factors. Transfusion medicine is reasonable? should be rational drug use software focus on content, rational drug use software should be conducted on transfusion medicine review of rationality.

However, at home and abroad for "rational drug use" computer software that has not developed a transfusion programmes, reviews the reasonableness of transfusion medicine.

2 rational drug use computer software should have the characteristics of

2.1 clinical strong applicability

Software system from the clinical reality and operational processes in line with the clinician's thinking and work steps, it should be in the common diseases and common between Chinese and Western medicine, the transfusion medicine and other medication review of rationality.

2.2 networking technology good adaptability

Software system can be used in stand-alone or networked environment, with good and extensive technical adaptability, can be used with different HIS system for embedded networking running.

2.3 have dynamic review function, the irrational drug use before elimination in the

Software system can aid clinic doctors and hospital doctors, doctor's prescription, and carry out reasonable infusion and medication reviews, real-time, dynamic prompts irrational use of information, the unreasonable use of elimination in before.

Software system can nurse station entry prescription, pharmacies and outpatient prescription pricing, infusion pharmacy Center when you implement reasonable infusion of dispensing and administration of dynamic review of implementation of the drug quality control dynamically.

2.4 flexible applicable parameters settings

Software system should, through the user parameter is set to match the different hospitals, different regions, different views of the user on rational drug use review of special requirements.

2.5 open systems maintenance functions to ensure the continued development of software systems.

Considering the drug and rational drug use research is evolving, changing, reasonable infusion and medication review system of content needs to be increased and revise and improve the software system knowledge base of maintenance functions to users, either by the software development company maintenance upgrade, or by the user to adjust, modify or supplement the content of the knowledge base, ensuring that the software functions with sustainability.

3 rational administration software should have basic review feature

3.1 drug doses review: can be single-dose and 1 dose of reviews;

3.2 drug and chemical incompatibility review: available for one-to-one and one-to-many incompatibility review;

3.3 Therapeutics incompatibility review, take precedence over the prompt and chemical incompatibility;

3.4 on medication for people's age, sex, pregnancy, breastfeeding, and other personal characteristics that make a reasonable review of medication infusion and taboo;

3.5 on driving, operating machinery, aerial work, sports etc tabu occupational groups medication review;

3.6 on smoking, alcohol, and other special tastes of people use taboo review;

3.8 in perioperative, radiotherapy, chemotherapy, organ transplant, wearing special circumstances such as recessive glasses people use taboo review.

4 rational administration software should have reasonable infusion review feature

Total: 4.1 infusion

According to the degree of severity and dehydration (mild, moderate and severe), automatically determines the amount of fluid per day.

4.2 infusion osmotic pressure:

According to the nature of the illness and dehydration (isotonic and hypotonic and high permeability), automatically determines daily infusion of osmotic pressure.

4.3 set infusion rate:

According to the severity of the press after the "first fast slow" rehydration principles, accurate liquid requirements for each group of Chiapas

When the input speed, avoid relying too slow infusion for the treatment of time, too quickly lead to heart and lung complications.

4.4 complement base drug dosage:

According to the degree that automatically determines the Diabetic Ketoacidosis correct acidosis alkaline type and dose of the drug;

4.5 infusion potassium chloride concentration and speed:

According to the severity of the automatically determined daily supplement to volume and potassium chloride injection speed, potassium chloride concentrations greater than par prescription generated, unless expert franchise.