処方オーダリングシステムと連動した薬剤情報提供システム

Abstract

We developed a computerized provision system for the instruction of medication to patients. This on-line system was developed as a partof the total dispensing support system on the dispensing room LAN which was linked with prescription order entry system. Drug information such as identification guide (drug form, cord number), indications or efficacy, and side-effects, was inputted to drug master files of the dispensing support system. The medication history for each patient, including the initial consultations, subsequent consultations and multiple clinical department consultation was cited from the database file that was constructed in the dispensing support system. When the physician prescribed a drug for a patient, the drug information and medication history were printed out on patient medication instruction sheet and previous were printed on prescription check-list by the drug envelope printer concurrently with the prescription. The patient medication instruction sheet informed patients about their medicine-what kind of medicine; how to take it effectively; what possible side-effects might occur and what to do about them; and any other special instructions, -which were written in clear and understandable terms for the patient. The prescription and the prescription check-list informed pharmacists about the patients-who had been prescribed newly; whose prescriptions had been altered from previous; who consulted multiple clinical departments and so on. These information are necessary for pharmacist to instruct patients.This on-line system enabled pharmacists to provide instruction of medication to patients not only “in written form” but also “in oral form” . We therefore, consider this system to be useful for the rational use of medication.