Information Construction and Implementation Effect of Perioperative Drug Treatment Pathways in Orthopedics
10.3870/j.issn.1004-0781.2024.10.030
- VernacularTitle:骨科围手术期药物治疗路径的信息化建设与实施效果
- Author:
Yue LIU
1
;
Yuhua YANG
;
Xiao ZHOU
;
Jing LI
;
Huizhu SONG
Author Information
1. 南京医科大学无锡医学中心,无锡市人民医院,南京医科大学附属无锡人民医院药学部,无锡 214023
- Keywords:
Multi-disciplinary treatment;
Drug treatment pathway;
Informatization;
Rationalization of drug use
- From:
Herald of Medicine
2024;43(10):1700-1705
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the establishment of a new model of informational drug treatment pathway management.Methods The orthopedic drug treatment pathways was developed through multidisciplinary diagnosis and treatment(MDT),and the pathway management was implemented with the help of an information systems to implement refined control rules.Cases before the implementation of the management pathway(January to May 2022)were selected as the control group,and cases after the implementation of the management pathway(June to December 2022)were selected as the improvement group to evaluate the management effectiveness.Results After establishing drug treatment pathways for 8 major types of surgeries,maintaining 990 medical prescriptions for recommended drugs in the HIS system,and 176 control rules in the MINDS system.There was a significant improvement in the orthopaedic department's indexes of antimicrobial drug use rate,antibacterial drug use intensity,average inpatient medication cost,and percentage of the amount of basic medication after applying a new model of drug treatment pathway management.According to the case analysis before and after the implementation of the pathway,the rational rate of using orthopedic antibiotics,analgesics,fluid replacement and volume expansion drugs,acid inhibiting and stomach protecting drugs,blood activating and swelling-reducing proprietary Chinese medicines were increased by 21.6%,12.7%,23.3%,32.1% and 27.1%,respectively.The average drug costs was reduced by 111.51 yuan,15.33 yuan,49.84 yuan,42.29 yuan and 14.23 yuan,respectively.Conclusion The management mode of drug treatment pathway based on MDT established by our hospital is practical and effective,and the relevant experience may provide valuable insights for pharmaceutical peers.
