CAJ | 학술논문

目的：通过合理用药系统促进中药饮片的合理使用。方法运用合理用药系统临床用药规则管理系统构建中药饮片合理用药规则，将中药饮片的处方质量置于PDCA循环的4个阶段中，通过处方分析（ P）发现问题、规则建模（ D）执行问题、处方干预（C）检查问题、处方点评（A）总结问题，通过PDCA的不断循环，促进处方质量持续提高。结果通过医生处方界面提醒、警示和拦截干预，中药饮片不合理处方数从警示前的6.91％下降到警示后的5.35％，但中药饮片超剂量的情况仍普遍存在。结论基于智能推理机的中药处方点评和干预系统能促进中药处方质量的持续改进，可以在医院中推广应用。
목적：통과합리용약계통촉진중약음편적합리사용。방법운용합리용약계통림상용약규칙관리계통구건중약음편합리용약규칙，장중약음편적처방질량치우PDCA순배적4개계단중，통과처방분석（ P）발현문제、규칙건모（ D）집행문제、처방간예（C）검사문제、처방점평（A）총결문제，통과PDCA적불단순배，촉진처방질량지속제고。결과통과의생처방계면제성、경시화란절간예，중약음편불합리처방수종경시전적6.91％하강도경시후적5.35％，단중약음편초제량적정황잉보편존재。결론기우지능추리궤적중약처방점평화간예계통능촉진중약처방질량적지속개진，가이재의원중추엄응용。
Objective To promote rational use of traditional Chinese medicine ( TCM ) decoction pieces by rational drug use monitoring sys-tem.Methods Adopting rule builder system of clinical rational drug use system to build rational use TCM decoction pieces rules.The prescription quality of TCM decoction pieces will be placed in the four stages of PDCA cycle.By means of prescription analysis ( P ) to find the problem , rule builder(D) to carry out problem, prescription intervention(C) to check problem, prescription comment(A) to summarize problem.The prescrip-tion quality continuous improvement with cycling continuously of PDCA.Results Intervention of alertting , warning and intercepting through the doctor ’ s prescribed interface , the number of irrational TCM decoction pieces prescriptions dropped from 6.91%to 5.35%after intervening ,but the overdose prescriptions are still widespread.Conclusion The comment and intervention system of TCM decoction pieces prescriptions based on in-telligence inference engine obviously improved the prescription quality.It can be widyly used in TCM decoction pieces prescriptions quality management.