CN-121999964-A - Intelligent pharmacy platform based on linkage of hospital information system and reasonable medication system

Abstract

The invention relates to the technical field of prescription auditing, and discloses an intelligent pharmaceutical platform based on linkage of a hospital information system and a reasonable medication system, wherein key management and control medicines such as traditional Chinese medicine decoction pieces, proton pump inhibitors, analgesics, enteral and parenteral nutrition preparations and the like are screened and managed through a clinical pharmacist informationized integrated management system. Through the intelligent management platform, the accurate management and control and the intervention implementation of the medical institution traditional Chinese medicine decoction pieces and key monitoring medicines such as proton pump inhibitors, analgesics and enteral and parenteral nutrition preparations are realized, and a standardized medicine application path is established. The invention successfully solves the core problems of single auditing rule, incapacitation of reality, important monitoring of medicines, such as enteral nutrition of proton pump inhibitor, analgesic, and improper management of the medicine diameter of enteral and parenteral nutrition preparation, encountered in prescription auditing formulas in the prior art, and provides a comprehensive and practical solution for optimizing prescription auditing systems and formulating clinical medicine diameters.

Inventors

• GAO XU
• CHENG JIE
• XIA FANG
• LIU SHENGCHUN

Assignees

• 河北省中医院(河北中医药大学第一附属医院、河北省青少年儿童脊柱侧弯防控中心)

Dates

Publication Date

20260508

Application Date

20251218

Claims (6)

1. 1. The intelligent pharmaceutical platform based on linkage of the hospital information system and the reasonable medication system is characterized by comprising a traditional Chinese medicine auditing system and a key monitoring medicine auditing system, wherein the traditional Chinese medicine auditing system and the key monitoring medicine auditing system comprise a front auditing module, a prescription comment and intervention module, a statistical analysis module and a basic database module; the traditional Chinese medicine auditing system and the key monitoring medicine auditing system are both in communication connection with the hospital information system to form a data linkage and business closed loop; the prepositive auditing module is used for auditing the traditional Chinese medicine prescription and mainly monitoring the medicine prescription; The prescription comment and intervention module is used for inquiring unreasonable prescriptions and intervening medication; The statistical analysis module is used for carrying out medication analysis and trial rationality analysis; The basic database module comprises a traditional Chinese medicine database and a key monitoring medicine database, wherein the traditional Chinese medicine and key monitoring medicine database is used for providing reference for optimization of traditional Chinese medicine decoction pieces, chinese patent medicines, western medicine combination and key monitoring medicine examination prescription system and perfection of a rule base.
2. 2. The intelligent pharmaceutical platform based on linkage of a hospital information system and a reasonable medication system according to claim 1, wherein the traditional Chinese medicine and key monitoring medicine database is formulated based on evidence-based medical evidence, current Chinese pharmacopoeia, authoritative traditional Chinese medicine teaching materials, medicine specifications, adverse reaction monitoring data and hospital practice experience.
3. 3. The intelligent pharmaceutical platform based on linkage of a hospital information system and a reasonable medication system according to claim 1, wherein the traditional Chinese medicine examination system can evaluate safety risks among traditional Chinese medicine decoction pieces, traditional Chinese medicine decoction pieces and Chinese patent medicines or between traditional Chinese medicine and western medicine; the traditional Chinese medicine auditing system is configured to set differential super pharmacopoeia dosage auditing thresholds for toxic traditional Chinese medicine decoction pieces according to toxicity grades (large toxicity, small toxicity and toxic) of the toxic traditional Chinese medicine decoction pieces; outputting prompts of different levels according to the risk levels of the combination, wherein the prompts comprise forbidden combination, non-recommended combination and double-sign confirmation; the common traditional Chinese medicine decoction pieces are used for auditing the high-value independent traditional Chinese medicine decoction pieces, the dosage range, the administration route, the combination condition of different processed products and the like.
4. 4. The intelligent pharmaceutical platform based on linkage of a hospital information system and a reasonable medication system according to claim 1, wherein the hospital information system is used for opening traditional Chinese medicine decoction pieces which need to be decocted first and then decocted second, the special decoction method is directly noted when the traditional Chinese medicine decoction pieces are opened, and the reasonable medication system does not need to be checked again.
5. 5. The intelligent pharmaceutical platform based on linkage of a hospital information system and a rational medication system according to claim 1, wherein the key monitoring drug auditing system is configured to: When the preventive medication audit is executed, the proton pump inhibitor is sequentially guided to carry out high-risk factor evaluation and potential risk factor evaluation, and the doctor's advice is allowed to pass only when the evaluation result accords with the instruction; the method comprises the steps of forcibly screening nutritional risks when performing drug administration auditing on an enteral and parenteral nutrition preparation, and determining whether to allow medical advice to be stored or push a pharmacist to comment according to screening scoring results; and (3) for the analgesic, when the administration auditing is executed, the pain assessment is forced, and the rationality of the drug selection is audited according to the pain scoring result and the three-step analgesic principle.
6. 6. The intelligent pharmaceutical platform based on linkage of a hospital information system and a reasonable medication system according to claim 1, wherein the traditional Chinese medicine auditing system and the key monitoring medicine auditing system are both in communication connection with the hospital information system, so that the traditional Chinese medicine decoction pieces requiring special decoction methods are prevented from being repeatedly audited in the reasonable medication system by directly labeling the special decoction methods in the hospital information system; for key monitoring medicines, real-time popup window prompt and information acquisition are carried out when medical orders are issued through a hospital information system, and after the medical orders pass, the medical orders are submitted to a prepositive auditing module for interception and recording.

Description

Intelligent pharmacy platform based on linkage of hospital information system and reasonable medication system Technical Field The invention relates to the technical field of prescription auditing, in particular to an intelligent pharmaceutical platform based on linkage of a hospital information system and a reasonable medication system. Background At present, most medical institutions still adopt the traditional manual checking prescription mode to evaluate prescription normalization and rationality, the mode checking efficiency is low, the standards of the medical chef of the checking prescription are not uniform, the potential medication risks are difficult to fully cover, and the like, and although part of intelligent checking systems have the function of checking the prescription of the medicines, the traditional Chinese medicine decoction pieces are always lacked to check whether the diagnosis and treatment are reasonable or not, and the related contents of interaction checking of the traditional Chinese medicine and the western medicine cannot be comprehensively analyzed according to the prescription, or the medicine dosage of the traditional Chinese medicine decoction pieces is checked by only relying on pharmacopoeia, so that the difference between the traditional Chinese medicine decoction pieces and the clinical actual medicine dosage is large, and the medicine ideas of the prescription of the traditional Chinese medicine practitioner cannot be intelligently understood. The intelligent auditing system is simply relied on, and interconnection and intercommunication cannot be truly realized due to the problem of interface transmission, so that the reasonable rate of key monitoring medicine management in actual prescription auditing is low, the standard medicine is urgently improved, and the clinical reasonable medicine management requirement is difficult to meet. There are problems of abuse of proton pump inhibitors, unreasonable formulation of enteral and parenteral nutrition preparations, improper use of toxic and tingling medicines, and the like. The conventional prescription auditing technology still has a plurality of problems in practical application, and has obvious defects when facing prescription auditing requirements of traditional Chinese medicine decoction piece superpharmacopoeia dosage auditing, dialectical treatment, traditional Chinese medicine and western medicine combination and the like, how to realize the management of important monitoring medicines through an HIS system and how to realize interconnection and intercommunication between the HIS system and a reasonable medicine system, and a novel solution is needed to cope with the challenges. In order to solve the above-mentioned defect, a technical scheme is provided. Disclosure of Invention In order to overcome the defects in the prior art, the invention provides an intelligent pharmaceutical platform based on linkage of a hospital information system and a reasonable medication system, which successfully solves the core problems of single auditing rule, imperfect cross-system auditing interface, low management efficiency and the like in the prior art in the aspects of mainly controlling medicines such as traditional Chinese medicine decoction pieces, chinese and western medicine combination, proton pump inhibitors, enteral and parenteral nutrition, analgesic auditing parties, and provides a comprehensive and practical solution for optimizing a prescription auditing system. The intelligent management system for constructing the closed-loop control information mainly comprises the functions of recording, prescription rationality judgment, query statistical analysis, medicine evaluation system, dynamic supervision and the like. The technical aim of the invention is achieved through the following technical scheme that the intelligent pharmacy platform based on linkage of a hospital information system and a reasonable medication system comprises a traditional Chinese medicine auditing system and a key monitoring medicine auditing system, wherein the traditional Chinese medicine auditing system and the key monitoring medicine auditing system comprise a front auditing module, a prescription comment and intervention module, a statistical analysis module and a basic database module; the traditional Chinese medicine auditing system and the key monitoring medicine auditing system are both in communication connection with the hospital information system to form a data linkage and business closed loop; the prepositive auditing module is used for auditing the traditional Chinese medicine prescription and mainly monitoring the medicine prescription; The prescription comment and intervention module is used for inquiring unreasonable prescriptions and intervening medication; The statistical analysis module is used for carrying out medication analysis and trial rationality analysis; the basic database module comprises a traditional Chinese medi