Application of information technology in strengthening the coordinated development of traditional Chinese and western medicine in hospitals

[Pharmaceutical Network Technical Article] On July 1 this year, the National Health and Health Commission, the State Administration of Traditional Chinese Medicine, and the Health Bureau of the Logistics Support Department of the Central Military Commission jointly issued the "Opinions on Further Strengthening the Work of Traditional Chinese Medicine in General Hospitals and Promoting the Coordinated Development of Traditional Chinese and Western Medicine" ( Hereinafter referred to as the "Opinions"), put forward several suggestions for the coordinated development of traditional Chinese and Western medicine in general hospitals
.

In fact, as early as June 4 this year, the "Opinions of the General Office of the State Council on Promoting the High-Quality Development of Public Hospitals" (hereinafter referred to as "Development Opinions") issued by the General Office of the State Council has made the coordinated development of traditional Chinese and Western medicine a key task.
The mission proposes to increase support for traditional Chinese medicine hospitals and insist on paying equal attention to traditional Chinese medicine and western medicine
.

In particular, the policy mentions the need to strengthen the supporting role of informatization
.

So what role can information technology play in the coordinated development of Chinese and Western medicine in medical institutions? The pharmaceutical research team of Hangzhou Tanggu Information Technology Co.
, Ltd.
focuses on serving customers, and mainly puts forward some thoughts from five aspects: smart hospital construction, medical alliance construction, Chinese pharmacy setting, rational use of Chinese medicine, and inheritance of famous and old Chinese medicine academic experience
.

Smart hospital construction Information technology is an important guarantee for strengthening medical quality management and control and optimizing the traditional Chinese medicine service system
.

The policy proposes that the general hospital information system should support the development of traditional Chinese medicine services
.

Promote the construction of smart hospitals and hospital information standardization with the "trinity" of electronic medical records, smart services, and smart management
.

Among them, the construction of smart hospitals with smart service and smart management as the entry point should include the construction of smart traditional Chinese medicine pharmacies, the construction of the preparation center management system, and the construction of the management platform for the procurement, storage and supply chain of traditional Chinese medicine pieces
.

Strengthening the construction of smart Chinese pharmacies, based on information technology, can upgrade and optimize the whole process of receiving prescriptions, dispensing and dispensing medicines in hospitals, improving the efficiency of receiving prescriptions and dispensing, ensuring the safety of patients' medication, and improving the satisfaction of patients with medical and drug-taking services; the preparation center management system can be used.
Focusing on the four modules of file management, production quality control, operation management and cost accounting, with the help of information technology to reduce costs and increase efficiency, and improve the management level; the procurement and storage supply chain management platform of traditional Chinese medicine pieces can realize the collaborative office between hospitals and upstream suppliers of pieces, Improve the efficiency of procurement and warehouse management, reduce errors, and reduce manual operations
.

 　　The "Development Opinions" for the construction of medical alliances pointed out that in order to give full play to the leading role of public hospitals and county-level hospitals, on the one hand, it is necessary to form a close cooperation led by tertiary public hospitals or hospitals representing the medical level of the jurisdiction (including social hospitals and traditional Chinese medicine hospitals).
On the other hand, it is necessary to actively develop a compact county-level medical community led by county-level hospitals
.

At the same time, it is necessary to strengthen the counterpart assistance work of urban tertiary hospitals to county-level hospitals
.

The construction of a TCM medical alliance will inevitably involve the construction of a shared TCM pharmacy.
Through the strict and efficient unified management of TCM decoction pieces, the maintenance quality of TCM decoction pieces will be improved, the operating cost of primary medical institutions will be reduced, and the efficacy and safety of TCM decoction pieces will be guaranteed
.

 　　The "Opinions" on the Establishment of Traditional Chinese Medicine Pharmacies specifically proposes that qualified general hospitals, especially qualified third-level A-level general hospitals, should set up traditional Chinese pharmacies in accordance with the "Basic Standards of Hospital Traditional Chinese Medicine Pharmacies" to provide Chinese herbal pieces, proprietary Chinese medicines and Chinese herbal formula granules.
Dispensing services And Chinese herbal decoction pieces decoction service
.

At the same time, the quality control of the whole process should be established for the service links such as dispensing, decoction, and distribution, and the quality supervision system of traditional Chinese medicine pharmaceutical affairs should be strengthened and optimized
.

Support qualified general hospitals to set up traditional Chinese medicine preparation rooms, and actively develop and use traditional Chinese medicine preparations
.

With IoT technology as the core, data connectivity as the main line, matrix coding as the carrier, the process can be regarded as the key, and the information technology focusing on the digital presentation of the human-machine-material law-loop will greatly improve the quality supervision of the whole process of traditional Chinese medicine decoction and traditional Chinese medicine preparations Efficiency of Control
.

 　　Rational use of traditional Chinese medicine Rational use of traditional Chinese medicine is an important measure to ensure the effectiveness, safety and economy of traditional Chinese medicine.
It can maximize the therapeutic effect of traditional Chinese medicine, reduce the incidence of adverse reactions, and reduce the economic burden of patients
.

The "Opinions" proposed that general hospitals should establish a Chinese medicine prescription review system in accordance with the "Prescription Management Measures", "Hospital Prescription Review Management Specification (Trial)", "Chinese Medicine Prescription Format and Writing Specifications" and other documents, strengthen the quality management of Chinese medicine prescriptions, and promote the rationality of Chinese medicine.
use
.

However, relying solely on manual review is inefficient and prone to errors
.

The pre-review system for rational drug use based on information technology can automatically identify the incompatibility, pregnancy contraindications, overdose drug use and other risk situations in the prescription, to ensure the drug safety of the majority of patients to a certain extent
.

 　　Inheritance of Academic Experience of Famous Old Chinese Medicine Famous old Chinese medicine is a model that combines the basic theory of traditional Chinese medicine, the experience of predecessors with current practice to solve difficult clinical problems, and represents the high level of current academic and clinical development of traditional Chinese medicine
.

The "Opinions" pointed out that general hospitals should actively carry out the inheritance of the academic experience of old Chinese medicine experts, strengthen the construction of excellent talent echelon and talent reserve, and form a talent team with a reasonable structure
.

Based on data mining technology, the correlation between symptoms, syndromes, diseases and prescriptions in the prescription big data is organized and analyzed, so as to mine the compatibility rules of famous old Chinese medicine prescriptions
.

Embedding the experience of famous and old Chinese medicine into the auxiliary diagnosis and treatment system, it can also serve the grass-roots doctors and improve the diagnosis and treatment level of the grass-roots doctors
.

 　　It is believed that based on information technology, the overall service capacity and operational efficiency of the hospital will be improved faster, the accessibility and availability of traditional Chinese medicine services will be better implemented, the inheritance, innovation and development of traditional Chinese medicine will be further promoted, and the general public will increasingly The growing medical and health needs will also be more satisfied
.

 　　(This article is reproduced with the authorization of Hangzhou Tanggu Information Technology Co.
, Ltd.
, and other platforms shall not be reproduced without authorization)