Llopis Salvia P, Sánchez Alcaraz A, Quintana Vergara B
Servicio de Farmacia. Hospital de la Ribera. Alzira. Valencia. Spain.
Farm Hosp. 2003 Jul-Aug;27(4):231-9.
Due to its iatrogenic potential and economic impact, drug prescription is one of the most complex tasks within the health care process. Electronic prescription systems (EPS), and particularly expert systems, increase quality by reducing errors in the prescribing and dispensing processes. Besides, electronic prescription reduces costs. On the other hand, it demands a new equilibrium in the delivery of pharmaceutical services.
The EPS established at "Hospital de la Ribera" is described. This system is basically characterised by: (1) its integration within the electronic global system throughout a computer network; (2) drugs are ordered directly by physicians in the electronic system; (3) pharmacists access the whole clinical record of patients "in situ"; (4) and integration of clinical activities by pharmacists in the patient medical record. The impact of this system on pharmaceutical care activities such as identification, reporting and documentation of drug-related problems (DRPs) versus traditional approaches is analysed.
Access to patient information throughout the system facilitates DRP identification, with a resulting overall prevalence of clinically relevant drug-related problems of 9%.
The model implemented in our hospital favours the development of clinical activities by pharmacists as it allows communication among health care professionals, activities are permanently recorded in patient medical charts, and a formal document of pharmacist involvement and compromise with the clinical progress and outcome of patients ensues.
由于其医源性潜力和经济影响，药物处方是医疗保健过程中最复杂的任务之一。电子处方系统（EPS），尤其是专家系统，通过减少处方和配药过程中的错误来提高质量。此外，电子处方降低了成本。另一方面，它要求在提供药学服务方面达成新的平衡。
描述了在“里韦拉医院”建立的电子处方系统。该系统的基本特点是：（1）通过计算机网络集成到电子全球系统中；（2）医生在电子系统中直接订购药物；（3）药剂师“就地”访问患者的完整临床记录；（4）药剂师将临床活动整合到患者病历中。分析了该系统与传统方法相比对药物治疗相关活动（如药物相关问题（DRP）的识别、报告和记录）的影响。
通过整个系统获取患者信息有助于DRP的识别，临床相关药物相关问题的总体患病率为9%。
我们医院实施的模式有利于药剂师开展临床活动，因为它允许医疗保健专业人员之间进行沟通，活动永久记录在患者病历中，从而产生一份药剂师参与并对患者临床进展和结果负责的正式文件。
