処方オーダエントリシステムにおける処方作成支援機能の評価

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In order to ensure that an order entry system for prescritions operates correctly and efficiently, we estimated the value of the supporting functions for prescription making. We examined the reports concerning the information supplied (e.g., drug name and directions), the functions of inspection prior to prescription making (e,g., usual dose and maximum dose), and the functions of inspection subsequent to prescription making (e.g., printing of the name of the diagnosis). In our hospital, rate of questions asked due to doubts about the prescription decreased from 4.2% to 0.6% since the order entry system was introduced. This decreasing factor of this asking rate was caused by "checking for an omission" (41%), using information supplied" (37%), and conducting an "inspection prior to prescription making" (22%). The doctors and pharmacists concerned answered in the affirmative with regard to the supporting functions for the prescription making. We classified the prescription-making supporting functions into three levels on the basis of importance. In our classification, we concluded that the minimum required supporting functions (fundamental functions) for the preparing of a complete prescripton were "checking for an omission", "information about the patient", "drug name", "selection of the drug", "directions", "unit", and "dose and times". In addition, we summarized our standardization of the fundamental functions using the results of this examination.
日本医療薬学会の論文
1993-12-20

処方オーダエントリシステムにおける処方作成支援機能の評価

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