Schaefer Marion
Institute of Pharmacy at Humboldt University, Goethestrasse 54, D-13086 Berlin, Germany.
Pharm World Sci. 2002 Aug;24(4):120-7. doi: 10.1023/a:1019543029936.
Coding systems are important tools for the documentation of drug-related problems and following interventions. They should be suitable not only for scientific studies but for the broader implementation of Pharmaceutical Care in the pharmacy. A suitable coding system must be easy to use in daily routine. To facilitate later computer aided use, it should be preferably structured like a decision tree and consist of three parts: 1. the classification of drug-related problems 2. the intervention taken to solve to problem 3. the degree to which the problem was solved. PI-Doc considers other classification systems used by Hepler and Strand the PAS-Coding System and draws empirical experience from a study in 1995 and 1998 in Germany. The main groups comprise the following: unsuitable drug choice unsuitable use by the patient, incl. compliance unsuitable dosage drug-drug interactions adverse drug reactions other drug-related problems patient-related communication-related technical and logistic problems. The article discusses basic principles of the development of a coding system and the prerequisites for its application. In addition, it tries to give guidance for the classification process itself. It is also recommended to collect further information while documenting drug-related problems, in order to allow additional statistical evaluation.
编码系统是记录药物相关问题及后续干预措施的重要工具。它们不仅应适用于科学研究，还应适用于药房药学服务的更广泛实施。合适的编码系统必须便于日常使用。为便于日后计算机辅助使用，它最好应像决策树一样结构化，并由三部分组成：1. 药物相关问题的分类；2. 为解决问题采取的干预措施；3. 问题解决的程度。PI-Doc参考了赫普勒和斯特兰德使用的其他分类系统（PAS编码系统），并借鉴了1995年和1998年在德国进行的一项研究的经验。主要类别包括：药物选择不当、患者使用不当（包括依从性）、剂量不当、药物相互作用、药物不良反应、其他药物相关问题、与患者相关的沟通相关技术和后勤问题。本文讨论了编码系统开发的基本原则及其应用的前提条件。此外，它还试图为分类过程本身提供指导。还建议在记录药物相关问题时收集更多信息，以便进行额外的统计评估。
