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药事与治疗学委员会向完整电子会议系统的转变——多机构经验

A P&T Committee's Transition to a Complete Electronic Meeting System-A Multisite Institution Experience.

作者信息

Al-Jedai Ahmed H, Algain Roaa A, Alghamidi Said A, Al-Jazairi Abdulrazaq S, Amin Rashid, Bin Hussain Ibrahim Z

出版信息

P T. 2017 Oct;42(10):641-651.

Abstract

PURPOSE

In the last few decades, changes to formulary management processes have taken place in institutions with closed formulary systems. However, many P&T committees continued to operate using traditional paper-based systems. Paper-based systems have many limitations, including confidentiality, efficiency, open voting, and paper wastage. This becomes more challenging when dealing with a multisite P&T committee that handles formulary matters across the whole health care system. In this paper, we discuss the implementation of the first paperless, completely electronic, Web-based formulary management system across a large health care system in the Middle East.

SUMMARY

We describe the transitioning of a multisite P&T committee in a large tertiary care institution from a paper-based to an all-electronic system. The challenges and limitations of running a multisite P&T committee utilizing a paper system are discussed. The design and development of a Web-based committee floor management application that can be used from notebooks, tablets, and hand-held devices is described. Implementation of a flexible, interactive, easy-to-use, and efficient electronic formulary management system is explained in detail.

CONCLUSION

The development of an electronic P&T committee meeting system that encompasses electronic document sharing, voting, and communication could help multisite health care systems unify their formularies across multiple sites. Our experience might not be generalizable to all institutions because this depends heavily on system features, existing processes and workflow, and implementation across different sites.

摘要

目的

在过去几十年中,采用封闭式处方集系统的机构已对其处方集管理流程进行了变革。然而,许多药品与治疗学委员会仍在继续使用传统的纸质系统。纸质系统存在诸多局限性,包括保密性、效率、公开投票以及纸张浪费等问题。当涉及到一个负责整个医疗保健系统处方集事务的多地点药品与治疗学委员会时,这些问题变得更具挑战性。在本文中,我们将探讨中东地区一个大型医疗保健系统中首个无纸化、完全电子化的基于网络的处方集管理系统的实施情况。

总结

我们描述了一个大型三级医疗机构中的多地点药品与治疗学委员会从纸质系统向全电子系统的转变过程。讨论了使用纸质系统运行多地点药品与治疗学委员会所面临的挑战和局限性。介绍了一种可从笔记本电脑、平板电脑和手持设备使用的基于网络的委员会现场管理应用程序的设计与开发。详细解释了一个灵活、交互式、易于使用且高效的电子处方集管理系统的实施情况。

结论

开发一个涵盖电子文档共享、投票和通信功能的电子化药品与治疗学委员会会议系统,有助于多地点医疗保健系统在多个地点统一其处方集。我们的经验可能无法推广至所有机构,因为这在很大程度上取决于系统功能、现有流程和工作流程以及在不同地点的实施情况。

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