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連處重複用藥

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連處重複用藥

  1. 1. 當慢籤遇⾒見重複⽤用藥
  2. 2. • 先執⾏行交互作⽤用判定,再執⾏行重複⽤用藥判定 • 交互作⽤用判定 • ⽐比對對象是 : “院內⽤用藥” , 已下載之雲端藥物尚未⽐比對 • 重複⽤用藥判定 • ⽐比對對象是: ⾨門診 + 出院 + 雲端
  3. 3. • 雲端藥歷要病患填同意書, 才能批次下載, 才能⽐比對 • 沒填同意書, 不能下載, 要⾃自⾏行插卡⽐比對 • 2015年 6⽉月起, 健保署開始加強查核重複⽤用藥 • 2014年經雲端藥歷使⽤用後, ⼀一季節省13E藥費⽀支出
  4. 4. Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Dr #1 28天 Drug A Drug F Drug A Drug F Drug A Drug FDr #2 28天 28天 7+7 7+7 當Dr 1 的連處在本院拿了第2次 Dr 2 是否可以重複開藥A ? 7+7 慢籤可領取時段, 前7後7
  5. 5. Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Dr #1 28天 28天 28天 7+7 7+7 當Dr 1 的連處第⼆二次還沒拿, Dr 2 是否可以重複開藥A ? Drug A Drug F Drug A Drug F Drug A Drug FDr #2
  6. 6. Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Dr #1 28天 28天 28天 7+7 7+7 當Dr 1 的連處在社區藥局拿了第2次,但雲端藥歷查不到 Dr 2 是否可以重複開藥A ? Drug A Drug F Drug A Drug F Drug A Drug FDr #2
  7. 7. Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Dr #1 28天 28天 28天 7+7 7+7 當Dr 1 的連處在社區藥局拿了第2次,且雲端藥歷已顯⽰示 Dr 2 是否可以重複開藥A ? Drug A Drug F Drug A Drug F Drug A Drug FDr #2
  8. 8. 討論 • 議題⼀一: 是否需要 提⽰示 + 紀錄 • 議題⼆二: 是否要限制開藥
  9. 9. Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Dr #1 28天 28天 28天 7+7 7+7 當Dr 1 的連處在本院拿了第2次 Dr 2 重複開藥A時 … (1) 提⽰示 + 紀錄
 Drug A Drug F Drug A Drug F Drug A Drug FDr #2
  10. 10. Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Dr #1 28天 28天 28天 7+7 7+7 當Dr 1 的連處只拿了第1次 Dr 2 開藥A時 … (1) 提⽰示
 (2) 提⽰示 + 紀錄
 (3) 不提⽰示, 不記錄 Drug A Drug F Drug A Drug F Drug A Drug FDr #2
  11. 11. Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Dr #1 28天 28天 28天 7+7 7+7 當Dr 1 的連處拿了第2次,雖然雲端查不到 Dr 2 開藥A時 … (1) 提⽰示
 (2) 提⽰示 + 紀錄
 (3) 不提⽰示, 不記錄 Drug A Drug F Drug A Drug F Drug A Drug FDr #2
  12. 12. Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Drug A Drug B Drug C Drug D Drug E Dr #1 28天 28天 28天 7+7 7+7 當Dr 1 的連處拿了第2次,且雲端查的到 Dr 2 重複開藥A時 … (1) 提⽰示
 (2) 提⽰示 + 紀錄
 (3) 不提⽰示, 不記錄 Drug A Drug F Drug A Drug F Drug A Drug FDr #2

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