三级医院门诊药房实时审方系统应用前后效果分析  

Effect Analysis of Real-time Prescription Review System in Outpatient Pharmacy of Tertiary Hospital Before and After Application

作　　者：杨眉[1] 周雯雯[1] YANG Mei;ZHOU Wenwen(Zhuhai Maternal and Child Health Hospital,Zhuhai,Guangdong,519000)

机构地区：[1]珠海市妇幼保健院药学科,广东珠海519000

出　　处：《智慧健康》2022年第16期108-111,共4页Smart Healthcare

摘　　要：目的探究三级医院门诊药房开展实时审方系统的效果。方法随机抽取某三级医院2019年6月1日-2019年9月30日1000张门诊处方(开展实时审方系统前,对照组)和2020年1月1日-2020年3月31日1000张门诊处方(开展实时审方系统后,实验组)为研究对象,每张处方分别对应一位患者,对比两组不合格处方抓取率、不合理用药率及患者不良反应发生率。结果实验组不合格处方抓取率(5.30%)较对照组(1.80%)更高,差异有统计学意义(P<0.05);实验组患者不良反应发生率(1.90%)较对照组(6.20%)更低,差异有统计学意义(P<0.05);实验组不合理用药率(1.60%)较对照组(5.20%)更低,差异有统计学意义(P<0.05)。对照组、实验组两组的处方发放及时性、准确性、用药后不良反应及错误处方修改时间评分相比,试验组评分明显高,组间差异有统计学意义(P<0.05)。两组总满意率相比,实验组显著高于对照组,组间差异有统计学意义(P<0.05)。结论三级医院门诊药房开展实时审方系统具有良好可行性,不合格处方抓取率更高,可有效减少不合理用药现象,患者不良反应发生率更低,有利于提升药学服务质量,提升患者满意度,值得推广。Objective To explore the effect of real-time prescription review system in outpatient pharmacy of tertiary hospital.Methods 1000 outpatient prescriptions(before the real-time prescription review system,the control group)and 1000 outpatient prescriptions(after the real-time prescription review system,the experimental group)were randomly selected from a tertiary hospital from June 1,2019 to September 30,2019 and from January 1,2020 to March 31,2020 as the research objects.Each prescription corresponds to one patient respectively.The capture rate of unqualified prescriptions in the two groups were compared.The rate of irrational drug use and the incidence of adverse reactions.Results The grasping rate of unqualified prescriptions in the experimental group(5.30%)was higher than that in the control group(1.80%)(P<0.05).The incidence of adverse reactions in the experimental group(1.90%)was lower than that in the control group(6.20%)(P<0.05);The irrational drug use rate in the experimental group(1.60%)was lower than that in the control group(5.20%)(P<0.05).Compared with the control group and the experimental group,the scores of timeliness and accuracy of prescription issuance,adverse reactions after medication and wrong prescription modification time in the experimental group were significantly higher,and the difference between the two groups was statistically significant(P<0.05).The total satisfaction rate of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion The real-time prescription review system carried out in the outpatient pharmacy of tertiary hospitals has good feasibility,the capture rate of unqualified prescriptions is higher,it can effectively reduce the phenomenon of irrational drug use,and the incidence of adverse reactions is lower.It is conducive to improving the quality of pharmaceutical care and patient satisfaction,which is worth popularizing.

关 键 词：三级医院 门诊 药房 实时审方系统 不良反应 药学服务 满意度 

分 类 号：R952[医药卫生—药学]