基于规则管理的处方前置系统的应用与探讨  

Application and Discussion of Prescription Pre-Review System Based on Rule Management

作　　者：朱珠 陈琦[1] 熊世娟[1] 张宏 张婷婷[1] ZHU Zhu;CHEN Qi;XIONG Shijuan;ZHANG Hong;ZHANG Tingting(Dept.of Pharmacy,Guizhou Provincial People’s Hospital,Guiyang 550002,China)

机构地区：[1]贵州省人民医院药剂科,贵阳550002

出　　处：《中国医院用药评价与分析》2023年第7期881-884,共4页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨处方前置审核系统在门诊药房中使用的效果,以提高合理用药水平。方法:该院于2021年3月底实施处方前置审核。药剂科基于医院用药实际情况,对系统审核的问题数据进行整理,维护系统规则。以处方合理率和药师干预有效率为指标,通过分析2021年4月(开展前置审核初期)至2022年3月的处方点评结果,评估前置审方系统的应用效果。结果:基于医院用药实际情况对系统规则进行维护后,2022年3月该院的门诊处方合理率从开展前置审核初期的94.08%(11768/12508)升高至98.06%(21385/21807),处方质量明显提高;药师干预有效率从开展前置审核初期的40.43%(112/277)升高至80.35%(278/346),医师对审方药师的工作认同度和配合度显著提高。结论:处方前置审核系统可以提高处方合理性,提高医师认可度,保障患者用药安全。OBJECTIVE:To probe into the effect of prescription pre-review system in outpatient pharmacy,so as to improve the level of rational drug use.METHODS:The prescription pre-review was implemented by the hospital at the end of Mar.2021.Based on the actual situation of drug use in the hospital,the pharmacy department collated the problems of the pre-review system and maintained the system rules.The rational rate of prescription and effectiveness of pharmacist intervention were set as indicators,the application effect of the pre-review system was evaluated by analyzing the results of prescription comments from Apr.2021(the initial stage of pre-review)to Mar.2022.RESULTS:After the system rules were maintained based on the actual situation of drug use in the hospital,the rationality rate of outpatient prescriptions in the hospital increased from 94.08%(11768/12508)in the initial stage of pre-review to 98.06%(21385/21807)in Mar.2022,and the quality of prescriptions was significantly improved.The effective rate of pharmacists’intervention increased from 40.43%(112/277)to 80.35%(278/346)at the initial stage of pre-review,and the clinicians’recognition and cooperation with pharmacists were significantly improved.CONCLUSIONS:Prescription pre-review system can improve the rationality of prescription,improve the clinicians’recognition,and ensure the safety of medication.

关 键 词：前置审方系统 处方审核 规则库 合理用药 

分 类 号：R97[医药卫生—药品]