审方系统在提升我院门诊合理用药水平中的应用效果  

Application effect of prescription review system in promoting the level of rational drug use in outpatient department of our hospital

作　　者：林进方 余剑波 秦艳芳 LIN Jin-fang;YU Jian-bo;QIN Yan-fang(Department of Pharmacy,Jiangmen Wuyi Hospital of Traditional Chinese Medicine,Guangdong Province,Jiangmen 529000,China)

机构地区：[1]广东省江门市五邑中医院药学部,广东江门529000

出　　处：《中国当代医药》2019年第10期172-174,共3页China Modern Medicine

基　　金：广东省江门市科技计划项目([2015]75-27)

摘　　要：目的探讨审方系统在提升我院门诊合理用药水平中的应用效果。方法自2017年9月我院开始应用爱思唯尔大通智能审方系统进行处方的前置审核,并由专职临床药师对疑似问题处方进行人工复审,再对不合理处方进行干预和二次审方。随机选取2017年3～8月应用审方系统前的门诊处方3200张作为对照组,再抽取2017年10月～2018年4月应用审方系统后的门诊处方3200张作为研究组,对两组处方进行点评,分析比较两组的处方合格率。结果应用审方系统后的研究组处方中超适应证用药、用法用量不当、诊断与用药不符、重复用药、联用不当、未注明皮试结果以及超量使用未标明原因等各种类型不合格处方数量均明显减少,研究组不合格处方率为1.22%,明显低于对照组的4.13%,差异有统计学意义(P<0.05)。结论应用审方系统对门诊处方进行前置审核和实时干预,能提升审方药师的业务能力和医师的合理用药意识,减少不合理处方,从而有效提高门诊的合理用药水平。Objective To explore the application effect of prescription review system in promoting the level of rational drug use in outpatient department of our hospital.Methods From September 2017,our hospital began to use the Elsevier Chase Intelligent prescription review system to carry out the pre-examination of prescriptions,and a full-time clinical pharmacist to carry out manual review of suspected problem prescriptions,and then effective intervention and secondary review of irrational prescriptions.3200 outpatient prescriptions were randomly selected as the control group before applying prescription review system from March to August 2017,and 3200 outpatient prescriptions from October 2017 to April 2018 were selected as the research group after the application of the prescription review system.The prescriptions of the two groups were evaluated and the qualified rate of the two groups was analyzed and compared.Results After the application of the prescription review system,the number of unqualified prescriptions in the research group,such as super-indications,improper usage and dosage,inconsistency between diagnosis and medication,repeated use of drugs,improper combination of drugs,unmarked skin test results and unmarked reasons for overuse,decreased significantly.The rate of unqualified prescription in the study group was 1.22%,which was significantly lower than 4.13%in the control group(P<0.05).Conclusion Pre-examination and real-time intervention of outpatient prescriptions by prescription review system can enhance the professional ability of the examining pharmacists and doctors'awareness of rational use of drugs,reduce irrational prescriptions,and effectively improve the level of rational use of drugs in outpatient clinics.

关 键 词：处方审核系统 门诊用药 处方干预 合理用药 

分 类 号：R969.3[医药卫生—药理学]