McCreadie Scott R, Stumpf Janice L, Benner Todd D
Department of Pharmacy Services, University of Michigan Health System, UHB2D301, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0008, USA.
Am J Health Syst Pharm. 2002 Oct 1;59(19):1847-52. doi: 10.1093/ajhp/59.19.1847.
The history of and improvements made to the University of Michigan Health System (UMHS) inpatient online formulary are described. The current formulary at UMHS is the third version of the Web-based formulary. The original effort in 1997 consisted of converting word-processing documents to HTML format and exporting this information to the university's intranet. There was no mechanism to search for formulary items, no therapeutic class cross-referencing, and no cost information. Documents and their conversion had to be manually maintained. The second version incorporated a series of automatic daily computer downloads from the inpatient pharmacy computer system. Web pages were built to dynamically display the formulary information from the database based on users' requests. The formulary enabled searching by brand or generic names, provided therapeutic category cross-references, listed the location of products within automated dispensing cabinets, provided accurate cost information, and was always up-to-date. Maintenance efforts drastically decreased. The current version has incorporated additional logic to meet users' needs. If no matches are found, the system expands its search by automatically linking to UMHS's inpatient pharmacy system repository of all drugs, finding matches to what the user entered, and then returning the names of therapeutically similar formulary agents to the user. A cross-index feature allows the system to return all the drugs that fall under the searched therapeutic category. Dramatic improvements have been made to UMHS's inpatient online formulary in the past two years. The current formulary provides a very low-cost, easily maintainable, and effective means to access the formulary and clinically relevant and timely information specific to each medication.
本文描述了密歇根大学医疗系统（UMHS）住院患者在线处方集的历史及改进情况。UMHS目前的处方集是基于网络的处方集的第三个版本。1997年的最初工作包括将文字处理文档转换为HTML格式，并将此信息导出到大学的内部网。当时没有搜索处方集项目的机制，没有治疗类别交叉引用，也没有成本信息。文档及其转换必须手动维护。第二个版本纳入了一系列从住院药房计算机系统进行的每日自动计算机下载。构建网页以根据用户请求动态显示数据库中的处方集信息。该处方集支持按品牌或通用名称进行搜索，提供治疗类别交叉引用，列出产品在自动配药柜中的位置，提供准确的成本信息，并且始终是最新的。维护工作大幅减少。当前版本纳入了额外的逻辑以满足用户需求。如果未找到匹配项，系统会通过自动链接到UMHS所有药物的住院药房系统存储库来扩展搜索，找到与用户输入内容的匹配项，然后将治疗上类似的处方集药物名称返回给用户。交叉索引功能使系统能够返回搜索的治疗类别下的所有药物。在过去两年中，UMHS的住院患者在线处方集有了显著改进。当前的处方集提供了一种低成本、易于维护且有效的方式来访问处方集以及获取每种药物特定的临床相关且及时的信息。
