CN112802574A - Management system for improving safety of traditional Chinese medicine decoction piece prescription - Google Patents
Management system for improving safety of traditional Chinese medicine decoction piece prescription Download PDFInfo
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- G—PHYSICS
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
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- G—PHYSICS
- G08—SIGNALLING
- G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
- G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
- G08B21/02—Alarms for ensuring the safety of persons
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Abstract
The invention relates to a management system for improving the safety of a traditional Chinese medicine decoction piece prescription. The system comprises: the system comprises an unreasonable traditional Chinese medicine decoction piece database, a medication safety comparison module, a traditional Chinese medicine prescription making module and a traditional Chinese medicine dispensing module; the unreasonable Chinese medicine decoction piece database comprises all the unallowable Chinese medicine decoction piece using rules; the traditional Chinese medicine prescription issuing module is used for a doctor to issue a traditional Chinese medicine decoction piece prescription to a patient; the traditional Chinese medicine prescription dispensing module is used for receiving prescription information of the traditional Chinese medicine prescription dispensing module, executing a prescription dispensing command and recording the prescription dispensing information; the medication safety comparison module compares the unallowable Chinese medicine decoction piece use rules of the unreasonable Chinese medicine decoction piece database with the prescriptions issued by doctors or the prescriptions received or issued by a traditional Chinese medicine pharmacy to obtain the result of judging whether the prescriptions are reasonable or not, and gives an alarm when the prescriptions are unreasonable. The invention is helpful to reduce the ratio of unqualified traditional Chinese medicine prescriptions and effectively improve the medication safety of patients.
Description
Technical Field
The invention relates to the field of medicine and computers, in particular to a management system for improving the safety of a traditional Chinese medicine decoction piece prescription.
Background
The incompatibility of the medicines and the overdose use of the traditional Chinese medicine decoction pieces are controversial from old to present, but the prescription record and use of the medicines are forbidden. The anti-drug in the ancient formula is used in a similar way. For example, in the formula of pill, it is used with Chuanwu ban Xia, and the physician in China uses Hai Zao gan Cao to treat gynecological tumor. However, in the actual clinical application, people pay more attention to the safety of traditional Chinese medicines rather than the effectiveness of the traditional Chinese medicines alone. According to the twenty-ninth chapter in the prescription comment management regulation (trial) and prescription management method (hospital Chinese herbal piece management standard) of hospitals, when a Chinese herbal piece dispensing person is definitely stipulated to prepare a prescription, the prescription should be checked and dispensed according to the relevant regulations of the prescription management method and the Chinese herbal piece dispensing regulation, and prescriptions with medication safety problems such as eighteen antagonisms, nineteen incompatibilities, more than common dosage and the like should be confirmed by a prescription doctor ("double signature") or can be prepared after prescription is re-made. There are also a few that have adverse consequences due to improper administration. The related reports show that the compatibility of fritillaria and aconite affects the metabolism of the medicine, the liquorice and the seaweed have toxic and side effects on liver and kidney after being used together, the peach kernel has the effect of inducing labor when pregnant women use the peach kernel, and the asarum causes respiratory excitation and blood pressure rise due to excessive quantity. Therefore, it is necessary to enhance the supervision of unreasonable phenomena in the use process of clinical herbal pieces and improve the medication safety of patients.
Patent document CN111932279A, published japanese 2020.11.13, discloses a traditional Chinese medicine quality safety tracing and supervising method based on a block chain technology, which comprises the following steps: the method comprises the following steps: the data acquisition module acquires the medicinal material information related to the traditional Chinese medicine and transmits the medicinal material information to the data sorting module; step two: the data sorting module carries out classification marking operation on the received medicinal material information to obtain medicine merchant data, medicinal material name data, medicinal material sales time data, medication age data and medication failure data. According to the invention, through the arrangement of the data analysis module, the related data of the medicinal materials are calculated, the proportion condition of poor medication data of different age groups is analyzed, and the safety analysis of the medicinal materials is carried out according to the proportion condition, so that the medicinal materials are traced according to the analysis result, the use safety of the medicinal materials is increased, some pharmaceutical manufacturers are punished to sell fake medicines, the medication safety of users is ensured, meanwhile, the time consumed by searching for the pharmaceutical manufacturers is saved, and the working efficiency is improved. Patent document CN112259185A, published japanese 2021.01.22, discloses an intelligent management system and method based on medication safety, the system includes a PDA host module, a medication sensing camera module, a medication dose conversion module, a display module, a voice playing module and a power module; the drug induction camera module, the drug dose conversion module, the display module and the voice playing module are all in communication connection with the PDA host module; the PDA host module, the drug induction camera module, the drug dosage conversion module, the display module and the voice playing module are all electrically connected with the power supply module. The intelligent management system can rapidly and accurately provide the relevant information of the medicine, and the medicine taking safety is ensured.
However, at present, no management system for improving the safety of the prescription of the traditional Chinese medicine decoction pieces is available.
Disclosure of Invention
The invention aims to provide a management system for improving the safety of a traditional Chinese medicine decoction piece prescription aiming at the defects in the prior art.
Still another objective of the present invention is to provide a management method for improving the safety of the prescription of herbal pieces.
In order to achieve the first purpose, the invention adopts the technical scheme that:
a management system for improving the safety of a traditional Chinese medicine decoction piece prescription comprises: the system comprises an unreasonable traditional Chinese medicine decoction piece database, a medication safety comparison module, a traditional Chinese medicine prescription making module and a traditional Chinese medicine dispensing module; the unreasonable Chinese medicine decoction piece database comprises all the unallowable Chinese medicine decoction piece using rules; the traditional Chinese medicine prescription issuing module is used for a doctor to issue a traditional Chinese medicine decoction piece prescription to a patient; the traditional Chinese medicine prescription dispensing module is used for receiving prescription information of the traditional Chinese medicine prescription dispensing module, executing a prescription dispensing command and recording the prescription dispensing information; the medication safety comparison module compares the unallowable Chinese medicine decoction piece use rules of the unreasonable Chinese medicine decoction piece database with the prescriptions issued by doctors or the prescriptions received or issued by a traditional Chinese medicine pharmacy to obtain the result of judging whether the prescriptions are reasonable or not, and gives an alarm when the prescriptions are unreasonable.
As a preferred example of the present invention, the herbal prescription module comprises a herbal piece database, a prescription unit, a prescription sending unit, and a first alarm unit, wherein the herbal piece database contains names of various types of herbal pieces, and the prescription unit provides a path for a physician to select a type of herbal piece and a path for a dosage from the herbal piece database; the prescription unit is connected with the medication safety comparison module, the medication safety comparison module is used for checking whether the prescription is safe, if the prescription is not in accordance with the regulations, the medication safety comparison module sends an instruction to the first alarm unit, and the first alarm unit sends out an alarm.
More preferably, the management system for improving the safety of the prescription of the herbal pieces comprises an unreasonable medication statistical module, the unreasonable medication statistical module is connected with a medication safety comparison module, the medication safety comparison module is connected with a prescription sending unit, and the unreasonable medication statistical module counts data of unreasonable prescription issued by a doctor.
As another preferred example of the present invention, the traditional Chinese medicine pharmacy dispensing module includes a prescription receiving unit, a second alarm unit, and a prescription dispensing unit; the prescription receiving unit is connected with the prescription sending unit, receives the sent prescription information, is also connected with the medication safety comparison module, verifies whether the prescription is safe or not through the medication safety comparison module, and sends an instruction to the second alarm unit and sends a warning through the second alarm unit if the prescription is not safe; the prescription issuing unit is used for issuing a command for taking the medicine.
More preferably, the management system for improving the safety of the prescription of the herbal pieces comprises an unreasonable medication statistical module, the unreasonable medication statistical module is connected with a medication safety comparison module, the medication safety comparison module is connected with a prescription issuing unit, and the unreasonable medication statistical module is used for counting data of unreasonable prescriptions issued by pharmacists.
As another preferable example of the present invention, the first alarm unit or the second alarm unit alarms in a manner of sound alarm, font highlighting, or pop-up window prompt.
As another preferred example of the present invention, the usage rule of the non-approved traditional Chinese medicine decoction pieces is established according to the standards of pharmacopoeia of the people's republic of China (2015 edition) and the processing standard of traditional Chinese medicine decoction pieces in Shanghai city (2008 edition).
In order to achieve the second object, the invention adopts the technical scheme that:
a management method for improving the safety of a Chinese herbal piece prescription comprises the step of auditing the Chinese herbal piece prescription issued by a doctor or a pharmacist based on the management system for improving the safety of the Chinese herbal piece prescription.
As a preferred example of the present invention, the management method for improving the safety of the prescription of the herbal pieces-of-chinese medicine comprises the following steps:
step S1, the doctor of traditional Chinese medicine prepares the prescription in the prescription unit;
step S2, the medication safety comparison module compares the prescribed prescription with the rules of the unreasonable Chinese medicine decoction piece database, and sends out or does not send out warning; when the alarm is given, the traditional Chinese medical practitioner further checks the prescribed prescription in combination with the patient condition, modifies or does not modify the prescription, and sends the prescription;
step S3, the pharmacy receives the prescription sent by the TCM physicians, the medication safety comparison module compares the received prescription information with the rules of the unreasonable TCM decoction piece database, and sends or does not send out warning; when the alarm is given, the pharmacist further checks the prescription and communicates with the traditional Chinese medicine; no warning is given, and the pharmacist gives the medicine.
More preferably, the management method for improving the safety of the traditional Chinese medicine decoction piece prescription further comprises the following steps: the irrational medicine taking statistical module calls prescription information of the prescription sending unit and the prescription sending unit, and filters and counts irrational prescription information.
The invention has the advantages that:
1. the invention makes up strict unreasonable medication rules of the traditional Chinese medicine decoction pieces by means of an information management system, examines the prescription in two links of prescription making by a doctor and medicine dispensing by a pharmacist, screens out unqualified prescriptions and sends out warnings to the doctor or the pharmacist, thereby effectively reducing the proportion of unqualified prescriptions, reasonably using medicine, improving the medication safety of patients and avoiding the occurrence of medical disputes.
2. And a plurality of alarm prompt modes are adopted to prompt doctors or pharmacists in a multi-azimuth manner, so that information omission is avoided.
3. The unreasonable prescription counting function is provided, the hospital supervision is facilitated, the current situation and the change of the unreasonable prescription in the hospital are known, the relevant doctors and pharmacists are notified and participated conveniently, and the unreasonable prescription is prevented from appearing.
4. The management system for improving the safety of the traditional Chinese medicine decoction piece prescription is suitable for being popularized and used in various medical institutions, and improves the safety level of the whole traditional Chinese medicine administration.
Drawings
FIG. 1 is a block diagram of a management system for improving the safety of herbal pieces prescription in example 1.
FIG. 2 is a block diagram of the management system for improving the safety of herbal pieces prescription in example 2.
FIG. 3 is a flow chart of the management method for improving the safety of the prescription of Chinese herbal pieces of the invention.
Detailed Description
The following detailed description of the present invention will be made with reference to the accompanying drawings.
The reference numerals and components referred to in the drawings are as follows:
1. unreasonable herbal pieces-database 2. medication safety compares module
3. Prescription module 31 for Chinese medicine, database for Chinese medicine pieces
32. Prescription unit 33 prescription sending unit
34. First alarm unit 4. traditional Chinese medicine dispensing module
41. Prescription receiving unit 42, second alarm unit
43. Prescription issuing unit 5, unreasonable medication statistical module
Referring to fig. 1, fig. 1 is a block diagram of a management system for improving safety of a herbal decoction piece prescription in embodiment 1, which includes:
unreasonable decoction piece database 1: the traditional Chinese medicine decoction pieces comprise all the use rules of the traditional Chinese medicine decoction pieces which are not allowed, the use rules of the traditional Chinese medicine decoction pieces are formulated according to the standards of pharmacopoeia of the people's republic of China (2015 edition) and the processing standard of traditional Chinese medicine decoction pieces in Shanghai city (2008 edition), and the traditional Chinese medicine decoction pieces in eighteen antagonisms are as follows: radix Glycyrrhizae Preparata, radix kansui, radix Knoxiae, Sargassum, and flos Genkwa; radix Aconiti Kusnezoffii (radix Aconiti, radix Aconiti lateralis Preparata, and radix Aconiti Kusnezoffii), rhizoma Pinelliae, fructus Trichosanthis (fructus Trichosanthis, pericarpium Trichosanthis, semen Trichosanthis, and radix Trichosanthis), Bulbus Fritillariae Cirrhosae (Bulbus Fritillariae Cirrhosae and Bulbus Fritillariae Thunbergii), radix Ampelopsis, and rhizoma Bletillae; rhizoma et radix Veratri, radix Adenophorae, Saviae Miltiorrhizae radix, radix scrophulariae, radix Sophorae Flavescentis, herba asari, and radix Paeoniae (radix Paeoniae Rubra and radix Paeoniae alba). Nineteen incompatibilities of traditional Chinese medicine decoction pieces are: sulfur, intolerance of unpurified sodium sulfate, mercury, intolerance of arsenic, radix euphorbiae lantu, intolerance of litharge, croton, intolerance of radix curcumae, nitre, negundo chastetree rhizome, Chuanwu, intolerance of rhinoceros horn, ginseng, intolerance of Oletum Trogopterori, and best-quality cinnamon, intolerance of red stone fat. The traditional Chinese medicine decoction pieces marked with toxicity and slight toxicity are as follows: rhizoma paridis, fructus Toosendan, fructus Pelargonii Hortori, fructus evodiae, semen Armeniacae amarum, semen Impatientis, fructus Cnidii, fructus Tribuli, radix Sophorae Tonkinensis, rhizoma Curculiginis, radix Aconiti Kusnezoffii, radix Aconiti, radix Polygoni Multiflori Preparata, radix Polygoni Multiflori, herba Solani Nigri, folium Artemisiae Argyi, folium Photiniae, cortex Illici, herba Speranskiae Tuberculatae, Eupolyphaga Seu Steleophaga, Gekko Swinhonis, Hirudo, fructus Xanthii, semen Pharbitidis, cortex pseudolaricis, cortex Periplocae Radicis, radix Aconiti lateralis Preparata, rhizoma Humuli Scandentis.
The medication safety comparison module 2: the unreasonable Chinese medicine decoction piece database 1 is connected, the unallowable Chinese medicine decoction piece using rules of the unreasonable Chinese medicine decoction piece database 1 are compared with the prescription (including the type and the amount of the Chinese medicine decoction pieces) received or sent by a doctor or a traditional Chinese medicine pharmacy one by one, and when the prescription meets the unallowable Chinese medicine decoction piece using rules, an alarm is sent.
A traditional Chinese medicine prescription module 3: is used for doctors to prescribe Chinese medicine decoction pieces for patients. Generally, the chinese medicine prescription module 3 is embedded in a hospital information management system (HIS system). The herbal prescription module 3 comprises a herbal piece database 31, a prescription unit 32, a prescription sending unit 33, and a first alarm unit 34, wherein the herbal piece database 31 contains names of various herbal pieces, and the prescription unit 32 provides a path for a physician to select a herbal piece type and a path for a dosage from the herbal piece database 31. The prescription unit 32 is connected with the medication safety comparison module 2, the medication safety comparison module 2 checks whether the prescription is safe, if the prescription is not in accordance with the regulations, the medication safety comparison module 2 sends an instruction to the first alarm unit 34, and the first alarm unit 34 sends out an alarm to inform a doctor of an unreasonable situation. The warning mode can be sound alarm, font highlighting, pop-up window prompt and the like.
Traditional Chinese medicine dispensing module 4: for receiving prescription information of the prescription module 3 for chinese medicine, and executing the prescription order and recording the prescription information. The traditional Chinese medicine dispensing module 4 comprises a prescription receiving unit 41, a second alarm unit 42 and a prescription dispensing unit 43. The prescription receiving unit 41 is connected to the prescription transmitting unit 33, and receives the transmitted prescription information. Meanwhile, the prescription receiving unit 41 is also connected with the medication safety comparison module 2, the medication safety comparison module 2 checks whether the prescription is safe, if the prescription does not meet the requirements, the medication safety comparison module 2 sends an instruction to the second alarm unit 42, and the second alarm unit 42 sends out an alarm to inform a pharmacist of an unreasonable condition. The warning mode can be sound alarm, font highlighting, pop-up window prompt and the like. The prescription issuing unit 43 is used to issue a command to take a medicine.
Referring to fig. 2, fig. 2 is a block diagram of a management system for improving safety of a herbal decoction piece prescription in embodiment 2, which includes:
unreasonable decoction piece database 1: the traditional Chinese medicine decoction pieces comprise all the use rules of the traditional Chinese medicine decoction pieces which are not allowed, the use rules of the traditional Chinese medicine decoction pieces are formulated according to the standards of pharmacopoeia of the people's republic of China (2015 edition) and the processing standard of traditional Chinese medicine decoction pieces in Shanghai city (2008 edition), and the traditional Chinese medicine decoction pieces in eighteen antagonisms are as follows: radix Glycyrrhizae Preparata, radix kansui, radix Knoxiae, Sargassum, and flos Genkwa; radix Aconiti Kusnezoffii (radix Aconiti, radix Aconiti lateralis Preparata, and radix Aconiti Kusnezoffii), rhizoma Pinelliae, fructus Trichosanthis (fructus Trichosanthis, pericarpium Trichosanthis, semen Trichosanthis, and radix Trichosanthis), Bulbus Fritillariae Cirrhosae (Bulbus Fritillariae Cirrhosae and Bulbus Fritillariae Thunbergii), radix Ampelopsis, and rhizoma Bletillae; rhizoma et radix Veratri, radix Adenophorae, Saviae Miltiorrhizae radix, radix scrophulariae, radix Sophorae Flavescentis, herba asari, and radix Paeoniae (radix Paeoniae Rubra and radix Paeoniae alba). Nineteen incompatibilities of traditional Chinese medicine decoction pieces are: sulfur, intolerance of unpurified sodium sulfate, mercury, intolerance of arsenic, radix euphorbiae lantu, intolerance of litharge, croton, intolerance of radix curcumae, nitre, negundo chastetree rhizome, Chuanwu, intolerance of rhinoceros horn, ginseng, intolerance of Oletum Trogopterori, and best-quality cinnamon, intolerance of red stone fat. The traditional Chinese medicine decoction pieces marked with toxicity and slight toxicity are as follows: rhizoma paridis, fructus Toosendan, fructus Pelargonii Hortori, fructus evodiae, semen Armeniacae amarum, semen Impatientis, fructus Cnidii, fructus Tribuli, radix Sophorae Tonkinensis, rhizoma Curculiginis, radix Aconiti Kusnezoffii, radix Aconiti, radix Polygoni Multiflori Preparata, radix Polygoni Multiflori, herba Solani Nigri, folium Artemisiae Argyi, folium Photiniae, cortex Illici, herba Speranskiae Tuberculatae, Eupolyphaga Seu Steleophaga, Gekko Swinhonis, Hirudo, fructus Xanthii, semen Pharbitidis, cortex pseudolaricis, cortex Periplocae Radicis, radix Aconiti lateralis Preparata, rhizoma Humuli Scandentis.
The medication safety comparison module 2: the unreasonable Chinese medicine decoction piece database 1 is connected, the unallowable Chinese medicine decoction piece using rules of the unreasonable Chinese medicine decoction piece database 1 are compared with the prescription made by a doctor or the content (including the type and the amount of the Chinese medicine decoction pieces) of the prescription received by a traditional Chinese medicine pharmacy one by one, and when the prescription meets the unallowable Chinese medicine decoction piece using rules, an alarm is given.
A traditional Chinese medicine prescription module 3: is used for doctors to prescribe Chinese medicine decoction pieces for patients. Generally, the chinese medicine prescription module 3 is embedded in a hospital information management system (HIS system). The herbal prescription module 3 comprises a herbal piece database 31, a prescription unit 32, a prescription sending unit 33, and a first alarm unit 34, wherein the herbal piece database 31 contains names of various herbal pieces, and the prescription unit 32 provides a path for a physician to select a herbal piece type and a path for a dosage from the herbal piece database 31. The prescription unit 32 is connected with the medication safety comparison module 2, the medication safety comparison module 2 checks whether the prescription is safe, if the prescription is not in accordance with the regulations, the medication safety comparison module 2 sends an instruction to the first alarm unit 34, and the first alarm unit 34 sends out an alarm to inform a doctor of an unreasonable situation. The warning mode can be sound alarm, font highlighting, pop-up window prompt and the like.
Traditional Chinese medicine dispensing module 4: used for receiving the prescription information of the traditional Chinese medicine prescription module 3 and recording the prescription information. The traditional Chinese medicine dispensing module 4 comprises a prescription receiving unit 41, a second alarm unit 42 and a prescription dispensing unit 43. The prescription receiving unit 41 is connected to the prescription transmitting unit 33, and receives the transmitted prescription information. Meanwhile, the prescription receiving unit 41 is also connected with the medication safety comparison module 2, the medication safety comparison module 2 checks whether the prescription is safe, if the prescription does not meet the requirements, the medication safety comparison module 2 sends an instruction to the second alarm unit 42, and the second alarm unit 42 sends out an alarm to inform a pharmacist of an unreasonable condition. The warning mode can be sound alarm, font highlighting, pop-up window prompt and the like. The prescription issuing unit 43 is used to issue a command to take a medicine.
The irrational medication statistics module 5: the irrational medication statistical module 5 is connected with the medication safety comparison module 2, and the medication safety comparison module 2 is connected with the prescription sending unit 33 of the traditional Chinese medicine prescription issuing module 3 and is also connected with the prescription sending unit 43 of the traditional Chinese medicine prescription sending module 4. The medication safety comparison module 2 compares the prescription conditions of the prescription sending unit 33 and the prescription sending unit 43 with the conditions which do not conform to the regulations, obtains statistical data of unreasonable prescriptions, including information of doctors and pharmacist names, patient names, ages, diseases and the like, and sends the statistical data to the unreasonable medication statistical module 5, and the unreasonable medication statistical module 5 obtains related statistical data.
The toxicity and the medication safety of the medicines are always well regarded by the traditional Chinese medicine, wherein eighteen antagonisms and nineteen incompatibilities and the use of traditional Chinese medicine decoction pieces marked with toxicity and small toxicity are used as the core content of incompatibility of traditional Chinese medicines. For a long time, the application of Chinese medicine in the clinical practice plays a guiding role in the taxis and the harm avoidance. Eighteen antagonisms and nineteen incompatibilities and marked toxic and slightly toxic Chinese herbal pieces are used, so that most suggestions are made that the decoction pieces are unreasonable in medication, and some suggestions are made that the decoction pieces marked toxic and slightly toxic Chinese herbal pieces can be used in the meantime, so that the decoction pieces are not absolutely forbidden in clinic but are cautious. However, the pharmacopoeia of the people's republic of China (2015 edition) and the processing standard of Chinese herbal pieces in Shanghai (2008 edition) have clear regulations for prohibiting unreasonable use of Chinese herbal pieces. Therefore, the invention provides a management system for improving the safety of a prescription of traditional Chinese medicine decoction pieces, which takes the pharmacopoeia of the people's republic of China (2015 edition) and the processing standard of traditional Chinese medicine decoction pieces in Shanghai city (2008 edition) as standards, audits the prescription received by a clinician or a traditional Chinese medicine pharmacy, performs medicine pairing, gives a prompt, performs supervision in two links of prescription making by the physician and medicine dispensing by the pharmacist, reduces unreasonable phenomena of the traditional Chinese medicine decoction pieces in the using process, reduces the probability of unqualified prescriptions, and finally improves the medication safety of patients. The prompting function has various forms, such as voice prompting, popping up a warning window, marking by obvious colors in a drug arrangement list of a traditional Chinese medicine pharmacy, and the like. The irrational medicine administration statistical module 5 can also perform statistics on irrational conditions of the prescription finally prescribed by the physician and the prescription finally issued by the pharmacist, so that the physician can conveniently supervise in the hospital, know the current situation and change of the irrational prescription in the hospital, conveniently inform and talk about the relevant physician and pharmacist, and avoid the occurrence of the irrational prescription.
Referring to fig. 3, fig. 3 is a flow chart of the management method for improving the safety of the prescription of herbal pieces according to the present invention. The management method for improving the safety of the traditional Chinese medicine decoction piece prescription is realized based on the management system for improving the safety of the traditional Chinese medicine decoction piece prescription in the embodiment 1 or 2, and comprises the following steps:
step S1, the TCM prescription making module is opened by the TCM practitioner, a prescription unit interface is presented, the appropriate TCM decoction piece type and dosage are selected according to the patient' S condition, and the prescription unit calls the TCM decoction piece database field to present the made prescription;
step S2, the medication safety comparison module compares the prescription of the prescription unit with the rules of the unreasonable Chinese medicine decoction piece database, when the rules are matched, the medication safety comparison module sends an instruction to the first alarm unit, the first alarm unit sends an alarm, such as a voice alarm, a jump-out alarm window or red-marking display of the Chinese medicine decoction pieces related in the rules, at the moment, a Chinese medicine teacher further carefully checks the prescribed prescription in combination with the patient condition, can modify the prescription or judge that the prescribed prescription meets the medication standard aiming at a specific patient, and can ignore the alarm information and forcibly click the 'confirm' button to successfully prescribe the prescription; if no rule matching exists, the traditional Chinese medicine doctor can click a 'confirm' button to successfully prepare the prescription, and the prescription information is sent to a prescription receiving unit of the traditional Chinese medicine pharmacy medicine sending module by a prescription sending unit;
step S3, after the prescription receiving unit receives the sent prescription information, the medication safety comparison module compares the received prescription information with the rules of the unreasonable Chinese medicine decoction piece database, when the rules are matched, the medication safety comparison module sends an instruction to the second alarm unit, the second alarm unit sends an alarm, such as a voice alarm, a jump-out alarm window or red-marking display of the Chinese medicine decoction pieces related to the rules, and at the moment, a pharmacist carefully checks the prescription and communicates with the Chinese medicine pharmacist; if no rule matching occurs, the pharmacist can click the 'confirm' button to successfully send the prescription to the prescription sending unit;
in step S4, the prescription issuing unit executes a command that a medicine can be issued, and the pharmacist takes the medicine to issue.
Still further, the method can further comprise the following steps:
and step S5, the irrational medication statistical module calls prescription information of the prescription sending unit and the prescription sending unit, compares the prescription information with the rules of the irrational traditional Chinese medicine decoction piece database, screens out the prescription matched with the rules, and performs statistics on the information for making the type of prescription to form a statistical chart taking weeks, months or years as a unit, thereby facilitating hospital supervision and evaluation.
The above description is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, several modifications and additions can be made without departing from the method of the present invention, and these modifications and additions should also be regarded as the protection scope of the present invention.
Claims (10)
1. A management system for improving the safety of a traditional Chinese medicine decoction piece prescription is characterized by comprising: the system comprises an unreasonable traditional Chinese medicine decoction piece database, a medication safety comparison module, a traditional Chinese medicine prescription making module and a traditional Chinese medicine dispensing module; the unreasonable Chinese medicine decoction piece database comprises all the unallowable Chinese medicine decoction piece using rules; the traditional Chinese medicine prescription issuing module is used for a doctor to issue a traditional Chinese medicine decoction piece prescription to a patient; the traditional Chinese medicine prescription dispensing module is used for receiving prescription information of the traditional Chinese medicine prescription dispensing module, executing a prescription dispensing command and recording the prescription dispensing information; the medication safety comparison module compares the unallowable Chinese medicine decoction piece use rules of the unreasonable Chinese medicine decoction piece database with the prescriptions issued by doctors or the prescriptions received or issued by a traditional Chinese medicine pharmacy to obtain the result of judging whether the prescriptions are reasonable or not, and gives an alarm when the prescriptions are unreasonable.
2. The management system for improving the safety of the prescription of herbal pieces-prepared for decoction as claimed in claim 1, wherein said herbal piece prescription module comprises herbal piece database containing names of herbal pieces of each kind, prescription unit for providing the path for the physician to select the kind of herbal piece and the path for the dosage from the herbal piece database; the prescription unit is connected with the medication safety comparison module, the medication safety comparison module is used for checking whether the prescription is safe, if the prescription is not in accordance with the regulations, the medication safety comparison module sends an instruction to the first alarm unit, and the first alarm unit sends out an alarm.
3. The management system for improving the safety of the prescription of herbal pieces-prepared for decoction of traditional Chinese medicine of claim 2, wherein the management system for improving the safety of the prescription of herbal pieces-prepared for decoction comprises an irrational medication statistics module, the irrational medication statistics module is connected with the medication safety comparison module, the medication safety comparison module is connected with the prescription sending unit, and the irrational medication statistics module counts the data of irrational prescription made by a doctor.
4. The management system for improving the safety of the prescriptions of herbal pieces of chinese medicine according to claim 1, wherein the pharmacy prescription module comprises a prescription receiving unit, a second alarm unit, a prescription issuing unit; the prescription receiving unit is connected with the prescription sending unit, receives the sent prescription information, is also connected with the medication safety comparison module, verifies whether the prescription is safe or not through the medication safety comparison module, and sends an instruction to the second alarm unit and sends a warning through the second alarm unit if the prescription is not safe; the prescription issuing unit is used for issuing a command for taking the medicine.
5. The management system for improving the safety of the prescription of herbal pieces-prepared for decoction of traditional Chinese medicine of claim 4, wherein the management system for improving the safety of the prescription of herbal pieces-prepared for decoction comprises an irrational medication statistics module, the irrational medication statistics module is connected with the medication safety comparison module, the medication safety comparison module is connected with the prescription issuing unit, and the irrational medication statistics module counts the data of irrational prescription issued by pharmacist.
6. The management system for improving the safety of the prescriptions of herbal pieces of chinese medicine according to claim 2 or 4, wherein the first alarm unit or the second alarm unit alarms in the form of an audible alarm, a font highlight or a pop-up window prompt.
7. The management system for improving the safety of the prescription of Chinese herbal pieces according to claim 1, wherein the usage rules of the non-permitted Chinese herbal pieces are set according to the standards of pharmacopoeia of the people's republic of China (2015 edition) and the processing specifications of Chinese herbal pieces in Shanghai city (2008 edition).
8. A management method for improving the safety of a herbal piece prescription, which comprises the step of auditing the herbal piece prescription issued by a doctor or a pharmacist based on the management system for improving the safety of the herbal piece prescription according to any one of claims 1 to 5.
9. The method of claim 8, comprising the steps of:
step S1, the doctor of traditional Chinese medicine prepares the prescription in the prescription unit;
step S2, the medication safety comparison module compares the prescribed prescription with the rules of the unreasonable Chinese medicine decoction piece database, and sends out or does not send out warning; when the alarm is given, the traditional Chinese medical practitioner further checks the prescribed prescription in combination with the patient condition, modifies or does not modify the prescription, and sends the prescription;
step S3, the pharmacy receives the prescription sent by the TCM physicians, the medication safety comparison module compares the received prescription information with the rules of the unreasonable TCM decoction piece database, and sends or does not send out warning; when the alarm is given, the pharmacist further checks the prescription and communicates with the traditional Chinese medicine; no warning is given, and the pharmacist gives the medicine.
10. The method of claim 9, further comprising the steps of: the irrational medicine taking statistical module calls prescription information of the prescription sending unit and the prescription sending unit, and filters and counts irrational prescription information.
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Application publication date: 20210514 |