1. An antimicrobial-assisted decision support system for clinical use, comprising: the system comprises a medication purpose selection subsystem, a doctor permission level judgment subsystem, an expert approval subsystem and a doctor advice validity period reminding subsystem which are sequentially connected;

the medicine taking purpose selection subsystem is used for selecting treatment medicine and preventive medicine, judging whether a patient has microorganism inspection within the last 3 days when the treatment medicine is selected, judging whether the current antibacterial medicine can be used for preventive medicine when the preventive medicine is selected, acquiring the antibacterial medicine grade according to the conditions of the microorganism inspection and the preventive medicine, and sending the antibacterial medicine grade to the doctor permission grade judgment subsystem;

the doctor permission level judging subsystem is used for acquiring the doctor antibacterial medicine permission level, judging whether the doctor can offer the current antibacterial medicine or not according to the doctor antibacterial medicine permission level and the condition whether the current antibacterial medicine is in a special use level or not, and if not, sending the current antibacterial medicine to the expert approval subsystem;

the expert approval subsystem is used for directly making an advice or filling an antibacterial drug approval sheet according to the current antibacterial drug, completing approval by the expert according to the emergency use condition of the current antibacterial drug, and sending the advice with double signatures of an approval expert and an advice doctor to the advice validity period reminding subsystem;

and the order validity period reminding subsystem is used for reminding corresponding doctors and nurses to pre-stop orders or stop executing orders according to the validity period of the orders.

2. The clinical antiseptic drug decision support system of claim 1 wherein the medication purpose selection subsystem comprises a therapeutic medication module;

the therapeutic drug module comprises a microorganism submission judging unit, an antibacterial drug grade judging unit and a microorganism submission application unit;

the microorganism submission judging unit is used for acquiring whether the current patient has microorganism submission in the last 3 days and sending the microorganism submission judging result to the antibacterial drug level judging unit;

the antibacterial drug grade judging unit is used for receiving the microorganism inspection judging result and acquiring the antibacterial drug grade; when the microorganism is checked, the antibacterial drug grade is directly sent to the doctor permission grade judgment subsystem; when no microorganism is delivered for inspection, the grade of the antibacterial drug is judged, and the judgment result is sent to the microorganism delivery application unit;

the microorganism submission application unit is used for realizing microorganism inspection application according to the antibacterial drug grade and sending the antibacterial drug grade to the doctor permission grade judgment subsystem when no microorganism is submitted for inspection; wherein the application for carrying out the microbiological test according to the antimicrobial drug grade comprises: if the antibacterial drug is in the non-use-limit level or the use-limit level, reminding the doctor to apply for the microbial examination, and if the antibacterial drug is in the special use level, forcing the doctor to apply for the microbial examination.

3. The clinical antiseptic drug decision support system of claim 1 wherein the medication purpose selection subsystem comprises a preventive treatment module;

the preventive treatment module comprises a preventive medication judging unit, a surgical prevention information acquiring unit, a surgical application information base, a surgical incision grade acquiring unit and a medication rule judging unit;

the preventive medication judging unit is used for judging whether the current antibacterial drugs can be used for preventive medication or not, if not, the flow is directly ended, and if yes, the antibacterial drug grade is sent to the operation preventive judging unit;

the operation prevention judging unit is used for judging whether the current antibacterial drugs are operation prevention or not, if the current antibacterial drugs are non-operation prevention, filling prevention reasons, sending the antibacterial drug grade to the doctor authority grade judging subsystem, if the current antibacterial drugs are operation prevention, judging whether the current patient has operation application or not, and if the current antibacterial drugs are not operation prevention, reminding the doctor to start the operation application and finish the flow; if yes, sending a control command to the operation prevention information acquisition unit;

the operation prevention information acquisition unit is used for acquiring operation prevention information from the operation application information base and sending the operation prevention information to the operation incision grade acquisition unit;

the surgical incision grade acquiring unit is configured to acquire an incision grade of a surgery by using the surgical prevention information, and send the incision grade of the surgery to the medication rule judging unit, where the acquiring of the incision grade of the surgery by using the surgical prevention information includes: if the preoperative prevention is adopted, directly acquiring the incision grade of the operation; if the patient is postoperative prevention, judging whether the patient has preoperative prevention, if so, acquiring preoperative prevention execution time, and then acquiring a surgical incision grade, and if not, directly acquiring the surgical incision grade;

the medication rule judging unit is used for judging the medication rule in the perioperative period according to the grade of the operative incision, and ending the flow if the medication rule does not conform to the medication rule; and according with the medication rule, setting the valid period of the medical advice, and sending the antibacterial level to the doctor permission level judgment subsystem.

4. The system of claim 1, wherein the doctor's authority level determination subsystem comprises an authority determination module and a special use level drug determination module;

the authority judging module is used for judging whether the current doctor has the authority level for opening the current antibacterial drugs, if not, reminding the doctor whether to use the antibacterial drugs in an unauthorized way, if not, ending the process, and if so, sending the current antibacterial drugs to the expert approval subsystem; if the doctor has the authority, the current antibacterial drug grade is sent to the special use grade drug distinguishing module;

the special use-level medicine judging module is used for judging whether the current antibacterial medicine is the special use-level antibacterial medicine or not, if not, a doctor is allowed to offer the antibacterial medicine, if so, the doctor inquires whether an antibacterial medicine use approval table is filled, if so, the information of the approval table needing to be filled is sent to the expert approval subsystem, and if not, the process is ended.

5. The system of claim 1, wherein the expert approval subsystem comprises: the system comprises an examination and approval table query module, an expert examination and approval module and an examination and approval table filling module;

the examination and approval table query module is used for querying whether the examination and approval table of the current antibacterial drug is filled in the last 24 hours of the current patient, if not, directly sending an examination and approval table filling request to the examination and approval table filling module, and if so, sending an examination and approval request to the expert examination and approval module;

the expert approval module is used for approving the approval request, if the approval request is approved, the medical advice takes effect, and both the approving doctor and the order-giving doctor are recorded in the medical advice, so that double signature of the order-giving doctor is realized; if the approval table is not approved, the approval table filling request is sent to the approval table filling module again;

and the examination and approval table filling module is used for filling the antibacterial drug use examination and approval table.

6. The clinical antiseptic drug decision support system of claim 5, wherein the examination and approval form filling module comprises an emergency use judgment unit and an order generation unit,

the emergency use judging unit is used for judging whether the current antibacterial drug examination and approval is emergency use or not and sending an emergency use judging result to the medical advice generating unit;

the medical advice generating unit is used for receiving the emergency use judgment result, if the emergency use judgment result is the emergency use judgment result, the 24-hour effective medical advice is generated, and the approval request is sent to the expert approval module, otherwise, the expert orders the medical advice, and the medical advice is not effective.

7. The system as claimed in claim 5, wherein the expert approval module is further configured to fill out the reason for disapproval if the expert approval module does not approve the clinical application.

Background

The antibacterial drug is one of the drugs which are widely applied clinically in China at present, but the problems of unreasonable medication such as abuse and confusion of different degrees exist, especially the bacterial drug resistance and the double infection situation are increasingly serious, and the difficulty of clinically treating infectious diseases is caused.

According to the requirements of the guidelines for clinical application of antibacterial drugs and the management methods for clinical application of antibacterial drugs, the clinical application special use-level antibacterial drugs should strictly grasp the indication of medication, after consultation and approval of professional technicians designated by the antibacterial drug management working institution, doctors with corresponding prescription rights (advanced professional technical qualifications) prescribe the drugs according to the procedures, and the medication period for prevention of drugs in perioperative period is defined. The patient is hospitalized for a plurality of times and has no way of carrying out one-to-one correlation between the operation information and the antibacterial drug administration information; in addition, in the advice information, when the doctor takes the antibacterial drugs in an over-grade mode, only one advice doctor needs to prescribe the medicines, and the advice lacks authority.

Therefore, how to provide an assistant decision support system for clinical antibacterial drugs is a problem to be solved urgently by those skilled in the art.

Disclosure of Invention

In view of the above, the present invention provides an assistant decision support system for clinical antibacterial drugs.

In order to achieve the purpose, the invention adopts the following technical scheme:

an antimicrobial-assisted decision support system for clinical use, comprising: the system comprises a medication purpose selection subsystem, a doctor permission level judgment subsystem, an expert approval subsystem and a doctor advice validity period reminding subsystem which are sequentially connected;

the medicine taking purpose selection subsystem is used for selecting treatment medicine and preventive medicine, judging whether a patient has microorganism inspection within the last 3 days when the treatment medicine is selected, judging whether the current antibacterial medicine can be used for preventive medicine when the preventive medicine is selected, acquiring the antibacterial medicine grade according to the conditions of the microorganism inspection and the preventive medicine, and sending the antibacterial medicine grade to the doctor permission grade judgment subsystem;

the doctor permission level judging subsystem is used for acquiring the doctor antibacterial medicine permission level, judging whether the doctor can offer the current antibacterial medicine or not according to the doctor antibacterial medicine permission level and the condition whether the current antibacterial medicine is in a special use level or not, and if not, sending the current antibacterial medicine to the expert approval subsystem;

the expert approval subsystem is used for directly making an advice or filling an antibacterial drug approval sheet according to the current antibacterial drug, completing approval by the expert according to the emergency use condition of the current antibacterial drug, and sending the advice with double signatures of an approval expert and an advice doctor to the advice validity period reminding subsystem;

and the order validity period reminding subsystem is used for reminding corresponding doctors and nurses to pre-stop orders or stop executing orders according to the validity period of the orders.

Preferably, the medication purpose selection subsystem comprises a therapeutic medication module;

the therapeutic drug module comprises a microorganism submission judging unit, an antibacterial drug grade judging unit and a microorganism submission application unit;

the microorganism submission judging unit is used for acquiring whether the current patient has microorganism submission in the last 3 days and sending the microorganism submission judging result to the antibacterial drug level judging unit;

the antibacterial drug grade judging unit is used for receiving the microorganism inspection judging result and acquiring the antibacterial drug grade; when the microorganism is checked, the antibacterial drug grade is directly sent to the doctor permission grade judgment subsystem; when no microorganism is delivered for inspection, the grade of the antibacterial drug is judged, and the judgment result is sent to the microorganism delivery application unit;

the microorganism submission application unit is used for realizing microorganism inspection application according to the antibacterial drug grade and sending the antibacterial drug grade to the doctor permission grade judgment subsystem when no microorganism is submitted for inspection; wherein the application for carrying out the microbiological test according to the antimicrobial drug grade comprises: if the antibacterial drug is in the non-use-limit level or the use-limit level, reminding the doctor to apply for the microbial examination, and if the antibacterial drug is in the special use level, forcing the doctor to apply for the microbial examination.

Preferably, the medication purpose selection subsystem comprises a prophylactic treatment module;

the preventive treatment module comprises a preventive medication judging unit, a surgical prevention information acquiring unit, a surgical application information base, a surgical incision grade acquiring unit and a medication rule judging unit;

the preventive medication judging unit is used for judging whether the current antibacterial drugs can be used for preventive medication or not, if not, the flow is directly ended, and if yes, the antibacterial drug grade is sent to the operation preventive judging unit;

the operation prevention judging unit is used for judging whether the current antibacterial drugs are operation prevention or not, if the current antibacterial drugs are non-operation prevention, filling prevention reasons, sending the antibacterial drug grade to the doctor authority grade judging subsystem, if the current antibacterial drugs are operation prevention, judging whether the current patient has operation application or not, and if the current antibacterial drugs are not operation prevention, reminding the doctor to start the operation application and finish the flow; if yes, sending a control command to the operation prevention information acquisition unit;

the operation prevention information acquisition unit is used for acquiring operation prevention information from the operation application information base and sending the operation prevention information to the operation incision grade acquisition unit;

the surgical incision grade acquiring unit is configured to acquire an incision grade of a surgery by using the surgical prevention information, and send the incision grade of the surgery to the medication rule judging unit, where the acquiring of the incision grade of the surgery by using the surgical prevention information includes: if the preoperative prevention is adopted, directly acquiring the incision grade of the operation; if the patient is postoperative prevention, judging whether the patient has preoperative prevention, if so, acquiring preoperative prevention execution time, and then acquiring a surgical incision grade, and if not, directly acquiring the surgical incision grade;

the medication rule judging unit is used for judging the medication rule in the perioperative period according to the grade of the operative incision, and ending the flow if the medication rule does not conform to the medication rule; and according with the medication rule, setting the valid period of the medical advice, and sending the antibacterial level to the doctor permission level judgment subsystem.

Preferably, the doctor permission level judging subsystem comprises a permission judging module and a special use level medicine judging module;

the authority judging module is used for judging whether the current doctor has the authority level for opening the current antibacterial drugs, if not, reminding the doctor whether to use the antibacterial drugs in an unauthorized way, if not, ending the process, and if so, sending the current antibacterial drugs to the expert approval subsystem; if the doctor has the authority, the current antibacterial drug grade is sent to the special use grade drug distinguishing module;

the special use-level medicine judging module is used for judging whether the current antibacterial medicine is the special use-level antibacterial medicine or not, if not, a doctor is allowed to offer the antibacterial medicine, if so, the doctor inquires whether an antibacterial medicine use approval table is filled, if so, the information of the approval table needing to be filled is sent to the expert approval subsystem, and if not, the process is ended.

Preferably, the expert approval subsystem comprises: the system comprises an examination and approval table query module, an expert examination and approval module and an examination and approval table filling module;

the examination and approval table query module is used for querying whether the examination and approval table of the current antibacterial drug is filled in the last 24 hours of the current patient, if not, directly sending an examination and approval table filling request to the examination and approval table filling module, and if so, sending an examination and approval request to the expert examination and approval module;

the expert approval module is used for approving the approval request, if the approval request is approved, the medical advice takes effect, and both the approving doctor and the order-giving doctor are recorded in the medical advice, so that double signature of the order-giving doctor is realized; if the approval table is not approved, the approval table filling request is sent to the approval table filling module again;

and the examination and approval table filling module is used for filling the antibacterial drug use examination and approval table.

Preferably, the examination and approval form filling module comprises an emergency use judgment unit and an order generation unit,

the emergency use judging unit is used for judging whether the current antibacterial drug examination and approval is emergency use or not and sending an emergency use judging result to the medical advice generating unit;

the medical advice generating unit is used for receiving the emergency use judgment result, if the emergency use judgment result is the emergency use judgment result, the 24-hour effective medical advice is generated, and the approval request is sent to the expert approval module, otherwise, the expert orders the medical advice, and the medical advice is not effective.

Preferably, the expert approval module is further used for filling out the reason of the disapproval if the approval is disapproval.

According to the technical scheme, compared with the prior art, the invention provides the auxiliary decision support system for the clinical antibacterial drug, and the invention provides an online intelligent system according to the self condition of the patient, the drug administration permission of the doctor and the expert approval in the process of clinical antibacterial drug use aiming at the complexity of the antibacterial drug, so that the time and labor consumed in the data transfer process are effectively reduced, a more convenient and faster working mode is pertinently provided for the doctor, and the working efficiency of the hospital is effectively improved.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the provided drawings without creative efforts.

Fig. 1 is a schematic structural diagram provided by the present invention.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

The embodiment of the invention discloses an auxiliary decision support system for clinical antibacterial drugs, which comprises: the system comprises a medication purpose selection subsystem, a doctor permission level judgment subsystem, an expert approval subsystem and a doctor advice validity period reminding subsystem which are sequentially connected;

the system comprises a medicine purpose selection subsystem, a doctor permission level judgment subsystem and a medicine purpose selection subsystem, wherein the medicine purpose selection subsystem is used for selecting treatment medicine and preventive medicine, judging whether a patient has microorganism inspection within the last 3 days when the treatment medicine is selected, judging whether the current antibacterial medicine can be used for preventive medicine when the preventive medicine is selected, acquiring the antibacterial medicine level according to the conditions of the microorganism inspection and the preventive medicine, and sending the antibacterial medicine level to the doctor permission level judgment subsystem;

the doctor permission level judging subsystem is used for acquiring the doctor antibacterial medicine permission level, judging whether the doctor can offer the current antibacterial medicine or not according to the doctor antibacterial medicine permission level and the condition whether the current antibacterial medicine is in a special use level or not, and if not, sending the current antibacterial medicine to the expert approval subsystem;

the expert approval subsystem is used for directly making a medical advice or filling an antibacterial medicine approval sheet according to the current antibacterial medicine, completing approval by the expert according to the emergency use condition of the current antibacterial medicine, and sending the medical advice with double signatures of the approval expert and the advice doctor to the medical advice validity period reminding subsystem;

and the system comprises an order validity period reminding subsystem for reminding corresponding doctors and nurses to pre-stop orders or stop executing orders according to the validity period of the orders.

It should be noted that:

the invention can effectively maintain the authority of the doctor, maintain the corresponding antibacterial drug authority of the doctor according to the job title of the doctor, maintain the examination and approval authority of the expert, maintain the property of the drug, determine whether the drug belongs to the antibacterial drug, determine whether the drug can be prevented from being taken, and determine the corresponding grade (non-limited use grade, limited use grade and special use grade) of the antibacterial drug.

In order to further realize the technical scheme, the medication purpose selection subsystem comprises a treatment medication module;

the therapeutic drug module comprises a microorganism submission judging unit, an antibacterial drug grade judging unit and a microorganism submission application unit;

the microorganism submission judging unit is used for acquiring whether the current patient has microorganism submission in the last 3 days and sending the microorganism submission judging result to the antibacterial drug level judging unit;

the antibacterial drug grade judging unit is used for receiving the microorganism inspection judging result and acquiring the antibacterial drug grade; when the microorganism is checked, the antibacterial drug grade is directly sent to the doctor authority grade judgment subsystem; when no microorganism is delivered for inspection, the grade of the antibacterial drug is judged, and the judgment result is sent to a microorganism delivery application unit;

the microorganism submission application unit is used for realizing microorganism inspection application according to the antibacterial drug grade and sending the antibacterial drug grade to the doctor permission grade judgment subsystem when no microorganism is submitted for inspection; wherein the application for carrying out the microbiological test according to the antimicrobial drug grade comprises: if the antibacterial drug is in the non-use-limit level or the use-limit level, reminding the doctor to apply for the microbial examination, and if the antibacterial drug is in the special use level, forcing the doctor to apply for the microbial examination.

In order to further realize the technical scheme, the administration purpose selection subsystem comprises a prevention and treatment module;

the prevention and treatment module comprises a preventive medication judging unit, a surgical prevention information obtaining unit, a surgical application information base, a surgical incision grade obtaining unit and a medication rule judging unit;

the preventive medication judging unit is used for judging whether the current antibacterial drugs can be used for preventive medication or not, if not, the flow is directly ended, and if yes, the antibacterial drug grade is sent to the operation preventive judging unit;

the operation prevention judging unit is used for judging whether the current antibacterial drugs are operation prevention or not, if the current antibacterial drugs are non-operation prevention, the prevention reason is filled, the antibacterial drug grade is sent to the doctor authority grade judging subsystem, if the current antibacterial drugs are operation prevention, whether the current patient has operation application or not is judged, and if the current antibacterial drugs are not operation prevention, the doctor is reminded to start the operation application and end the flow; if yes, sending a control command to the operation prevention information acquisition unit;

the operation prevention information acquisition unit is used for acquiring operation prevention information from the operation application information base and sending the operation prevention information to the operation incision grade acquisition unit;

the surgical incision grade acquisition unit is used for acquiring the incision grade of the operation by the operation prevention information and sending the incision grade of the operation to the medication rule judging unit, wherein the operation prevention information is used for acquiring the incision grade of the operation and comprises the following steps: if the preoperative prevention is adopted, directly acquiring the incision grade of the operation; if the patient is postoperative prevention, judging whether the patient has preoperative prevention, if so, acquiring preoperative prevention execution time, and then acquiring a surgical incision grade, and if not, directly acquiring the surgical incision grade;

the medication rule judging unit is used for judging the medication rule in the perioperative period according to the grade of the operation incision, and ending the flow if the medication rule is not met; and according with the medication rule, setting the valid period of the medical advice, and sending the antibacterial level to the doctor permission level judgment subsystem.

It should be noted that:

the perioperative medication rules of the operative incision grade are preset, wherein the preventive medication of the I-type incision cannot exceed 24 hours, and the preventive medication of the I-type incision (heart) cannot exceed 48 hours.

In order to further realize the technical scheme, the doctor permission level judging subsystem comprises a permission judging module and a special use level medicine judging module;

the authority judging module is used for judging whether the current doctor has the authority level for opening the current antibacterial drugs, if not, reminding the doctor whether to use the antibacterial drugs in an unauthorized way, if not, ending the process, and if so, sending the current antibacterial drugs to the expert approval subsystem; if the doctor has the authority, the current antibacterial drug grade is sent to a special use grade drug distinguishing module;

and the special use-level medicine judging module is used for judging whether the current antibacterial medicine is the special use-level antibacterial medicine or not, if not, allowing a doctor to offer the antibacterial medicine, if so, inquiring whether to fill an antibacterial medicine use approval table or not, if so, sending the information of the approval table required to be filled to the expert approval subsystem, and otherwise, ending the process.

In order to further realize the technical scheme, the expert approval subsystem comprises: the system comprises an examination and approval table query module, an expert examination and approval module and an examination and approval table filling module;

the examination and approval table query module is used for querying whether the examination and approval table of the current antibacterial drug is filled in the last 24 hours of the current patient, if not, directly sending an examination and approval table filling request to the examination and approval table filling module, and if so, sending the examination and approval request to the expert examination and approval module;

the expert approval module is used for approving the approval request, if the approval request is approved, the medical advice takes effect, and both the approving doctor and the order-giving doctor are recorded in the medical advice, so that double signature of the order-giving doctor is realized; if not, the approval form filling request is sent to the approval form filling module again;

and the examination and approval table filling module is used for filling the antibacterial drug use examination and approval table.

In order to further realize the technical proposal, the examination and approval table filling module comprises an emergency use judging unit and a medical advice generating unit,

the emergency use judging unit is used for judging whether the current antibacterial drug examination and approval is emergency use or not and sending an emergency use judging result to the doctor advice generating unit;

and the medical advice generating unit is used for receiving the emergency use judgment result, generating 24-hour effective medical advice if the emergency use judgment result is the emergency use judgment result, and sending the approval request to the expert approval module, otherwise, the expert orders the medical advice and the medical advice is not effective.

In order to further realize the technical scheme, the expert approval module is also used for filling out the reason of disagreement if the approval is disagreement.

In the practical application process, within a certain time (for example, 12 hours) before the validity period of the order is reached, a doctor and a nurse are reminded at a ward doctor workstation and a ward nurse workstation, and the term of the order is about to expire, and the doctor is reminded to carry out pre-stop order. If the effective period of the medical advice is exceeded and the medical advice is not stopped, the nurse is reminded when the nurse executes the medical advice, and the medical advice cannot be executed if the effective period of the medical advice is exceeded.

The work flow of the invention comprises the following contents:

s1, the doctor prescribes the antibacterial agent in the advice system, and the doctor needs to select the medication purpose, treatment medication and prevention medication.

S2, the doctor selects the treatment medicine to obtain the antibacterial grade of the medicine.

And S3, acquiring whether the patient has the microorganism for examination within the last 3 days.

S4, the patient has no microorganism for inspection.

S4.1 if the antibacterial agent is in a non-use-limited level or a use-limited level, the doctor is reminded to apply for the microbial examination. Jump to S13.

S4.2 if the bacteria medicament is in a special use level, the doctor is forced to make a microbial examination application. Jump to flow 13

S5, the doctor selects prevention and treatment, and judges whether the medicine can be used for prevention.

And S5.1, ending the process if the medicine cannot be used for prevention.

S6, the medicine can be used for prevention, and the doctor chooses whether to perform operation prevention.

S7, non-operative prevention, filling prevention reasons, obtaining the grade of the antibacterial drug, and jumping to S13.

And S8, performing operation prevention, judging whether the patient has an operation application, and if not, reminding a doctor to start the operation application. And ending the flow.

S9, an operation application is made, the information of the operation application form is recorded in the doctor, and the doctor selects preoperative prevention or postoperative prevention.

S10, pre-operation prevention and obtaining incision grade of the operation.

S11, postoperative prevention, judging whether the patient has preoperative prevention, if so, acquiring preoperative prevention execution time, and then acquiring a surgical incision grade. And if not, acquiring the grade of the surgical incision.

And S12, judging the medication rule in the perioperative period according to the grade of the operation incision, and ending the flow if the medication rule does not conform to the medication. And if the medication is matched and the valid period of the medical order is set, acquiring the grade of the antibacterial medicine and skipping to S13.

And S13, acquiring the authority level of the antibacterial drugs of the doctor.

And S13.1, if the doctor does not have the authority level of the antibacterial medicine, reminding the doctor whether to use the antibacterial medicine in an unauthorized way. Otherwise, the flow is ended. If yes, the process goes to S14.

S13.2, the doctor has the authority, the medicine is an antibacterial medicine which is not a special use grade, and the doctor can offer the antibacterial medicine.

And S13.3, the doctor has authority and the medicine is the antibacterial medicine with the special use level, and the doctor is reminded that the antibacterial medicine with the special use level needs to fill in an antibacterial medicine use approval table and whether to fill in the antibacterial medicine use approval table. Otherwise, the flow ends, and if yes, the flow goes to S14.

And S14, judging whether the patient fills in the antibacterial agent use approval table of the medicine in the last 24 hours.

And S14.1, if the examination and approval agree, directly providing the medical advice, and recording the examination and approval doctors and the order-giving doctors in the medical advice to realize double signature of the order-giving doctors.

And S14.2, if the examination and approval are not approved, re-filling the antibacterial agent use examination and approval table.

And S14.3, if not, re-filling the antibacterial agent use approval table.

S15, filling out an antibacterial drug approval bill, and the doctor can select whether to use the antibacterial drug in an emergency.

S15.1, if yes, the doctor firstly makes an order, the order is effective within 24 hours, and the expert needs to complete approval within 24 hours.

And S15.2, if not, the doctor orders the doctor, and the doctor orders do not take effect.

And S16, completing examination and approval by experts. Approval was not agreed. Fill out the reason for the disagreement.

And S17, completing examination and approval by experts. And approval is granted. The doctor takes effect and records the information of the examining and approving doctor in the doctor's advice, so that double signature of the doctor who prescribes the advice is realized.

S18, reminding doctors and nurses at ward doctor workstations 12 hours before the valid period of the medical orders, reminding doctors to pre-stop the orders when the period of the medical orders is due. If the valid period of the medical advice is exceeded and the medical advice is not stopped, the nurse is reminded when the nurse executes the medical advice, and the medical advice is exceeded and cannot be executed.

The embodiments in the present description are described in a progressive manner, each embodiment focuses on differences from other embodiments, and the same and similar parts among the embodiments are referred to each other. The device disclosed by the embodiment corresponds to the method disclosed by the embodiment, so that the description is simple, and the relevant points can be referred to the method part for description.

The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.