目的 探索口服單劑量藥品裸片"圖文證書"數(shù)據(jù)庫字典聯(lián)合查詢系統(tǒng)的構(gòu)建以及應(yīng)用，促進臨床安全合理用藥。方法 對江門市新會區(qū)人民醫(yī)院中心智慧藥房口服拆零藥品裸片進行圖例采集，建立配以臨床用藥指導(dǎo)等信息的"圖文證書"數(shù)據(jù)庫字典，計算機中心人員利用現(xiàn)代信息技術(shù)構(gòu)建可安裝于手機的查詢系統(tǒng)，實現(xiàn)藥品信息的快速檢索。結(jié)果 查詢系統(tǒng)使用后，藥師通過核對發(fā)現(xiàn)擺藥差錯的糾錯率由74.90%上升到98.40%（P<0.01），明顯降低出門差錯；共接受醫(yī)護人員使用系統(tǒng)查詢藥品信息652次，提高醫(yī)護人員工作效率，減少用藥錯誤，進一步促進臨床安全合理用藥。結(jié)論 "圖文證書"數(shù)據(jù)庫字典查詢系統(tǒng)具有使用方便、快捷以及信息準確、更新及時等特點，有利于提高醫(yī)護人員的核對準確率以及工作效率，保證患者用藥安全。

Objective To explore the construction and application of the database dictionary joint query system of "picture and text certificate" of single dose oral drug nude tablets, so as to reduce the errors of drug dispensing and medication, and promote the clinical safety and rational medication. Methods The legends of the naked tablets of the oral broken drugs in the central intelligent pharmacy of Xinhui District People's Hospital of Jiangmen City were collected, the database dictionary of "picture and text certificate" with clinical medication guidance and other information was established. By using modern information technology, a query system that can be installed in mobile phones was build, so as to realize the rapid retrieval of drug information. Results After use of the inquiry system, pharmacists found that the error correction rate of dispensing errors increased from 74.90% to 98.40% (P<0.01). The error of going out was significantly reduced. 652 inquiries of drug information by medical staff using the system were received. The working efficiency of medical staff was improved. Medication errors was reduced, and the safe and rational use of drugs in the clinical bed was further promoted, which was unanimously praised by medical staff. Conclusion The database dictionary inquiry system of "image and text certificate" has the characteristics of convenient use, fast, accurate information, timely update, etc., which is conducive to improve the accuracy and efficiency of medical staff and ensure the safety of drug use.

R969.3

江門市衛(wèi)生健康局科研立項項目（20A097）