医院门诊前置处方审核分析及改进  

Analysis and Improvement of Pre-Prescription Review in the Hospital Outpatient Service

作　　者：孙坤 艾超 Sun Kun;Ai Chao(Beijing Tsinghua Changgung Hos pital Affiliated to Tsinghua University , Beijing, China 102218)

机构地区：[1]清华大学附属北京清华长庚医院,北京102218

出　　处：《中国药业》2017年第22期92-95,共4页China Pharmaceuticals

摘　　要：目的提高处方干预能力,促进临床合理用药。方法依据《处方管理办法》及《医院处方点评管理规范(试行)》,对2016年7月至2017年6月的4 584例门诊前置处方审核记录进行分类统计,并从绩效奖惩机制实施、教育训练改善等方面进行分析。结果不合理处方类型主要为临床诊断书写不全、医师签名签章不规范、用量不适宜,分别占54.28%,19.74%,16.19%,不规范处方占74.02%。实行绩效奖励机制、教育训练改善、绩效惩处后分别比改善前的不合理处方干预率提高145.00%,46.00%,150.00%。结论实行绩效奖惩、依据处方干预记录进行的教育训练改善可提高门诊药房处方干预效果。降低医院门诊不合理处方需前置处方审核及处方点评相结合,不断规范医师处方行为,并提高药师处方干预能力。Objective To improve the ability of prescription intervention and promote rational drug use in clinic.Methods According to Prescription Management Method and Management Regulation for Hospital Prescription Comments(trial),the records of 4 584 pre-prescription review in the hospital outpatient service from July 2016 to June 2017 were classified and statistically analyzed,the performance reward and punishment mechanism,the improvement of education and training,and other aspects were analyzed.Results The unreasonable prescriptions were mainly for incomplete clinical diagnosis(54.28%),physician nonstandard signature(19.74%),improper dosage(16.19%),respectively,the irregular prescriptions accounted for 74.02%.In addition,compared with before improvement,after the implementation of performance reward mechanism,the improvement of education and training,performance punishment,the intervention rate of irrational prescription increased by 145.00%,46.00% and 150.00%,respectively.Conclusion The improvement of education and training according to the implementation of performance reward and punishment,and records of prescription intervention can improve the effect of prescription intervention in outpatient pharmacy.To reduce the irrational prescriptions in our hospital outpatient service,we should combine the pre-prescription examination and prescription review,constantly standardize the prescription behavior of physicians,and improve the prescription intervention ability of pharmacists.

关 键 词：前置处方审核 处方干预 门诊药房 合理用药 药房管理 

分 类 号：R969.3[医药卫生—药理学] R951[医药卫生—药学]