Groh H L, Peters L L, Young W W
Hosp Pharm. 1987 May;22(5):470-3, 479-82, 489-92 passim.
A computerized Medication Awareness Reporting System (MARS) generated by a Sperry PC microcomputer with an Epson FX-80+ printer was evaluated on four adult units (163 beds) of a 353-bed community hospital. MARS is a drug database containing clinical information monographs on 200 commonly prescribed medications. Information provided through the MARS system includes mechanism of action, dosage and administration guidelines, adverse effects and contraindications. In addition, pharmacists can add written information to each MARS report. Patient-specific MARS reports were generated on all patients admitted to the four units during the 16-week study period. Copies of the reports were placed into each patient's chart and into the patient's medication Kardex. Reports were updated daily by pharmacists who provide decentralized service to the units. Physicians, pharmacists, and nurses who encountered the MARS reports were surveyed at the end of the 16-week period. The results indicated that nurses used MARS more than physicians or pharmacists. The groups that valued the MARS reports as a source of drug information the least were the pharmacists and the physicians. MARS, or a drug information system similar to MARS, can be provided with relatively little cost for equipment and materials. However, the use of MARS as described in this study may be limited due to the time required to provide this service. More efficient methods of delivering MARS may enhance its use in the hospital setting. Currently, MARS may be more appropriate for use in long-term care facilities and home health agencies.
对一台由Sperry PC微型计算机和一台爱普生FX - 80 +打印机生成的计算机化药物警戒报告系统（MARS），在一家拥有353张床位的社区医院的四个成人科室（163张床位）进行了评估。MARS是一个药物数据库，包含200种常用处方药的临床信息专论。通过MARS系统提供的信息包括作用机制、剂量和给药指南、不良反应和禁忌证。此外，药剂师可以在每份MARS报告中添加书面信息。在为期16周的研究期间，为四个科室收治的所有患者生成了特定患者的MARS报告。报告副本被放入每位患者的病历和患者用药卡片索引中。报告由为各科室提供分散服务的药剂师每日更新。在16周结束时，对接触过MARS报告的医生、药剂师和护士进行了调查。结果表明，护士使用MARS的频率高于医生或药剂师。对MARS报告作为药物信息来源评价最低的群体是药剂师和医生。MARS或类似MARS的药物信息系统可以以相对较低的设备和材料成本提供。然而，本研究中描述的MARS的使用可能会因提供此项服务所需的时间而受到限制。更高效的MARS传递方法可能会提高其在医院环境中的使用。目前，MARS可能更适合在长期护理机构和家庭健康机构中使用。
