某儿童专科医院中药饮片处方前置审核的探索与实施  

Exploration and Implementation of Traditional Chinese Medicine Decoction Pieces Prescription Pre-Review in A Children’s Hospital

作　　者：张艳菊[1] 魏京海[1] 杨燕[2] 王彦青[1] 谢月峰 史强[1] 孙宏国[3] ZHANG Yanju;WEI Jinghai;YANG Yan;WANG Yanqing;XIE Yuefeng;SHI Qiang;SUN Hongguo(Dept.of Pharmacy,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing 100045,China;Dept.of Traditional Chinese Medicine,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing 100045,China;Dept.of Information Center,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心/首都医科大学附属北京儿童医院药学部,北京100045 [2]国家儿童医学中心/首都医科大学附属北京儿童医院中医科,北京100045 [3]国家儿童医学中心/首都医科大学附属北京儿童医院信息中心,北京100045

出　　处：《中国医院用药评价与分析》2023年第3期361-366,共6页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：国家中医药管理局全国中药特色技术传承人才培训项目(No.T20194828003);北京中医管理局北京中医药薪火传承“3+3”金世元名老中医工作室北京儿童医院分站建设项目(京中医科字[2019]103号)。

摘　　要：目的:完成中药饮片处方前置审核系统的搭建与实施,促进儿科合理用药,提升药学服务质量。方法:介绍该院中药饮片处方前置审核系统的工作部署、搭建流程、功能实现与管理;对2019年1—6月(前置审核系统上线前)、2022年1—6月(前置审核系统上线后)的中药饮片处方合格率、各类不合理处方变化情况等进行对比分析,评价处方前置审核实施的效果。结果:该院中药饮片处方前置审核系统搭建成功,运行良好。处方前置审核系统上线后,中药饮片处方合格率大幅提升,不合理处方类别中的中药饮片剂量不合理、特殊煎服法标注不规范及重复用药情况有显著改善,与前置审核系统上线前比较,差异均有统计学意义(P<0.05);而单张处方大金额、大药味及贵细中药饮片处方开具限制等情况,与前置审核系统上线前差别不大。结论:中药饮片处方前置审核系统的搭建和实施可提高处方合理性,促进医院合理用药。OBJECTIVE:To complete the establishment and implementation of traditional Chinese medicine decoction pieces prescription pre-review system,promote rational drug use in pediatrics,and improve the quality of pharmaceutical care.METHODS:The work deployment,establishment process,function realization and management of traditional Chinese medicine decoction pieces prescription pre-review system in the hospital were introduced.The qualified rate of traditional Chinese medicine decoction pieces prescription and changes of various irrational prescriptions from Jan.to Jun.2019(before the implementation of pre-review system)and from Jan.to Jun.2022(after the implementation of pre-review system)were compared and analyzed.The effect of prescription pre-review implementation was evaluated.RESULTS:The pre-review system of traditional Chinese medicine decoction pieces prescription was established successfully and ran well.Through the implementation of pre-review,the qualified rate of prescription was greatly improved,in the category of irrational prescription,the improper dosage of decoction pieces,the non-standard labeling of special decoction regimen and repeated drug use were significantly improved,and the differences were statistically significant compared with those before the implementation of pre-review system(P<0.05);while the restrictions on large amount of single prescription,large number of drugs of single prescription and expensive fine drug use were little different from those before the implementation of pre-review system.CONCLUSIONS:The establishment and implementation of pre-review system for traditional Chinese medicine decoction pieces prescription can improve the rationality of prescription and promote rational drug use in hospital.

关 键 词：儿科 中药饮片 处方前置审核 

分 类 号：R932[医药卫生—生药学] R969.3[医药卫生—药学]