目的 探索口服单剂量药品裸片"图文证书"数据库字典联合查询系统的构建以及应用，促进临床安全合理用药。方法 对江门市新会区人民医院中心智慧药房口服拆零药品裸片进行图例采集，建立配以临床用药指导等信息的"图文证书"数据库字典，计算机中心人员利用现代信息技术构建可安装于手机的查询系统，实现药品信息的快速检索。结果 查询系统使用后，药师通过核对发现摆药差错的纠错率由74.90%上升到98.40%（P<0.01），明显降低出门差错；共接受医护人员使用系统查询药品信息652次，提高医护人员工作效率，减少用药错误，进一步促进临床安全合理用药。结论 "图文证书"数据库字典查询系统具有使用方便、快捷以及信息准确、更新及时等特点，有利于提高医护人员的核对准确率以及工作效率，保证患者用药安全。

Objective To explore the construction and application of the database dictionary joint query system of "picture and text certificate" of single dose oral drug nude tablets, so as to reduce the errors of drug dispensing and medication, and promote the clinical safety and rational medication. Methods The legends of the naked tablets of the oral broken drugs in the central intelligent pharmacy of Xinhui District People's Hospital of Jiangmen City were collected, the database dictionary of "picture and text certificate" with clinical medication guidance and other information was established. By using modern information technology, a query system that can be installed in mobile phones was build, so as to realize the rapid retrieval of drug information. Results After use of the inquiry system, pharmacists found that the error correction rate of dispensing errors increased from 74.90% to 98.40% (P<0.01). The error of going out was significantly reduced. 652 inquiries of drug information by medical staff using the system were received. The working efficiency of medical staff was improved. Medication errors was reduced, and the safe and rational use of drugs in the clinical bed was further promoted, which was unanimously praised by medical staff. Conclusion The database dictionary inquiry system of "image and text certificate" has the characteristics of convenient use, fast, accurate information, timely update, etc., which is conducive to improve the accuracy and efficiency of medical staff and ensure the safety of drug use.

R969.3

江门市卫生健康局科研立项项目（20A097）