关于日本药物代码基础过敏检查中忽略的风险频率的研究
Ritsu Honda1,2, Takehiro Fujii1, Takuya Iwamoto2
1Mie University Hospital Dept. Med Info.
Studies in health technology and informatics
|August 8, 2025
概括
目前使用YJ代码的电子医疗记录 (EMR) 药物过敏检查存在风险. 大约15%的口服和5%的注射药物处方可能没有足够的过敏检查,需要改善安全措施.
科学领域:
- 医疗信息学 医疗信息学
- 药理学 药理学是指药理学的学科.
- 临床系统 临床系统
背景情况:
- 电子病历 (EMR) 系统对于药物过敏的确认至关重要.
- 当前的过敏检查功能通常依赖于药物分类代码,这些代码可能无法解释不同的剂量形式.
- 这可能会导致错过过敏检查的潜在风险.
研究的目的:
- 评估EMR系统中药物过敏检查不足的风险.
- 评估当前药物分类代码在过敏确认方面的有效性.
- 确定医疗信息系统安全的改进领域.
主要方法:
- 从NHI药物价格标准创建了一个药物成分列表.
- 根据共享的化合物或代谢物,考虑药物代谢,分配5位数的组代码.
- 在EMR系统上模拟这些代码,以评估过敏检查风险.
主要成果:
- 大约15%的口服药物处方显示过敏检查不足的风险.
- 约有5%的注射药物处方有过敏检查不足的风险.
- 结果表明,基于YJ代码的过敏检查方法不足以达到所需的安全标准.
结论:
- 目前基于YJ代码的药物过敏检查方法存在重大风险.
- 该研究强调,需要在EMR系统中加强安全措施,以确认药物过敏.
- 需要改进的方法来确保全面和准确的药物过敏检查.
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