我院门/急诊电子处方事前审核模式的建立及完善  

Establishment and Improvement of Outpatient and Emergency Electronic Prescription Prior-review Mode in Our Hospital

作　　者：季宏建[1] 岳峰[1] 朱宏亮[1] 裔照国 乐玉兰 张正[1] 熊英[1] 

机构地区：[1]盐城市第三人民医院药学科,江苏盐城224001

出　　处：《中国药房》2017年第1期80-83,共4页China Pharmacy

摘　　要：目的:促进电子处方事前审核模式的开展,提高处方合格率。方法:介绍我院通过建立门/急诊电子处方审核小组、审核依据以及实施办法等实施电子处方事前审核模式,并针对实施初期出现的审核效率低、审核标准不统一、干预反馈不及时等问题,借助品管圈活动和互联网工具微信等完善该模式的情况。结果:通过优化系统设置、统一审核标准、采用微信公众平台进行一对一反馈沟通等措施,完善了我院的电子处方事前审核模式。药师事前审核单张处方的平均时间由50 s下降至30.58 s,处方合格率由86.77%上升到95.30%,审方效率和处方合格率明显提高。结论:电子处方事前审核模式的实施及不断完善,可降低处方的不合格率,促进门/急诊患者的合理用药。OBJECTIVE：To improve the electronic prescription prior-review mode and increase the rate of qualified prescriptions. METHODS：The electronic prescription prior-review mode of our hospital was established by setting up outpatient and emergency electronic prescription review team,review evidence and enforcement measures. Aimed at these problems as low review efficiency at initial stage,non-unified standards and untimely feedback,quality control circle and internet tools We Chat were used to improve the mode and evaluate its effects. RESULTS：The electronic prescription prior-review mode of our hospital was improved by optimizing system settings,unifying review standard,one- to- one feedback and communication with We Chat public platform,etc. Average time of prescription prior- review had reduced from 50 s to 30.58 s;the rate of qualified prescriptions had increased from 86.77% to 95.30%;prescription review efficiency and the rate of qualified prescriptions had been improved significantly.CONCLUSIONS：The implementation and continuous improvement of electronic prescription prior-review mode can reduce the rate of unqualified prescriptions and promote rational drug use in outpatient and emergency department.

关 键 词：电子处方 事前审核 品管圈 微信公众平台 

分 类 号：R95[医药卫生—药学]