抗生素应用临床决策支持系统.docx

[Page 1]A New Era in Antibiotic PrescribingAccenture has designed and implemented a computerised decision support systemthat helps clinicians prescribe the most suitable antibiotics for their patients埃森哲设计并实施了一个计算机决策支持系统，可以帮助医生为患者开立最合适的抗生素The ChallengeThe discovery of antimicrobial agents in the early 20th century reduced the threat of many infectious diseases and eased the suffering of millions of people around the world. In recent years, however these diseases have become resistant to modern antimicrobial agents, which has resulted in long-lasting illnesses and a greater risk of mortality while increasing the overall cost of healthcare.As a result, clinicians facethe daily challenge of determining the most appropriate antibiotic medication for each patient. However, manually reviewing each patient’s antibiotic prescription history in a large hospital setting is often labourintensive.挑战抗菌药物的发现在20世纪初降低了许多传染病的威胁，缓解了世界各地数以百万计人口的病痛。但近年来，这些疾病已对现代的抗菌剂产生抗药性，造成了一些久未医治的疾病和死亡率增加的危险，同时提高整体的医疗成本。因此，临床医生每天面临着为每位患者开立最合适的抗生素药物的挑战。然而，在大医院里手动查阅每位患者的抗生素处方史通常是一件工作超负荷的事情。A Safe and Effective SolutionAccenture has designed a computerised decision support system that is integrated with the clinician’s antibiotic ordering work process. The Antibiotic Resistance Utilization and Surveillance-Control (ARUS-C) system ensures physicians, nurses and other clinicians order the most effective and safe antibiotic medications for their patients.When prescribing antibiotics, clinicians enter into ARUS-C the specific infection they want to treat and some patient-specific parameters. The system takes in account typical patient risk factors such as drug allergies and impaired renal function. It then recommends a suitable antibiotic medication and treatment plan.These recommendations are saved into an electronic medication ordering system and can be updated when the patient’s condition changes or when test results are available at a later date.安全而有效的方法埃森哲设计了一个计算机决策支持系统，集成了临床医生开立抗生素工作流程。抗生素抗药性利用和监控（ARUS