Ruedy J
Can Med Assoc J. 1966 Oct 15;95(16):807-12.
A hospital chart review system using standard IBM punch cards was designed to review patterns of use of antibacterial drugs in a large Canadian general hospital. Review of the charts of 4894 patients during an eight-month period showed that this method provided an inexpensive and accurate summary of many of the details of use of antibacterial drugs, including indications accepted for drug use, specific drugs selected, the manner in which the drugs were used and the precautions taken to avoid adverse reactions. This method of review should be valuable in delineating drug misuse and overuse, and hence in the continuing education of the physician.
设计了一种使用标准IBM穿孔卡的医院病历审查系统,以审查加拿大一家大型综合医院抗菌药物的使用模式。对4894名患者在八个月期间的病历审查表明,该方法能廉价且准确地汇总抗菌药物使用的许多细节,包括用药适应证、所选具体药物、用药方式以及为避免不良反应所采取的预防措施。这种审查方法对于界定药物滥用和过度使用,进而对医生的继续教育应具有重要价值。