妇幼专科医院开展处方前置审核的实践与效果  

Practice and effect of prescription pre-audit in a maternal and child health hospital

作　　者：刘砚韬[1,2,3] 王艺萱 林芸竹 陈力[1,2,3] 刘世林 张伶俐[1,2,3] LIU Yantao;WANG Yixuan;LIN Yunzhu;CHEN Li;LIU Shilin;ZHANG Lingli(Department of Pharmacy,Ministry of Education,West China Second University Hospital,Sichuan University,Sichuan Chengdu 610041,China;Evidence-Based Pharmacy Center,Ministry of Education,West China Second University Hospital,Sichuan University,Sichuan Chengdu 610041,China;Key Laboratory for Birth Defects and Related Diseases of Women and Children,Ministry of Education,West China Second University Hospital,Sichuan University,Sichuan Chengdu 610041,China;West China School of Pharmacy,Sichuan University,Sichuan Chengdu 610041,China)

机构地区：[1]四川大学华西第二医院药学部,四川成都610041 [2]四川大学华西第二医院循证药学中心,四川成都610041 [3]四川大学华西第二医院出生缺陷与相关妇儿疾病教育部重点实验室,四川成都610041 [4]四川大学华西药学院,四川成都610041

出　　处：《中国医院药学杂志》2024年第1期99-105,共7页Chinese Journal of Hospital Pharmacy

基　　金：四川省科学技术厅省级科技计划项目(编号:19RKX0513)。

摘　　要：目的:探讨处方前置审核在妇幼专科医院中的实施与效果,为相关医疗机构合理用药工作提供参考。方法:选取四川大学华西第二医院应用处方前置审核系统前12个月(2018年7月—2019年6月)和应用后12个月(2019年8月—2020年7月)的门急诊处方和住院医嘱相关数据分别作为对照组和研究组,比较应用前后的药师审核工作量、医嘱/处方合格率及变化趋势,抗菌药物使用率、平均每张处方金额,分析不合格医嘱/处方类型,并对应用处方前置审系统的经验和问题进行讨论。结果:处方前置审方系统上线后,药师审核率方面住院医嘱为1.57%,门急诊处方为0.19%;医嘱/处方合格率方面对照组住院医嘱、门急诊处方分别为96.61%、98.27%,研究组分别为97.45%、98.48%;抗菌药物使用率方面对照组和研究组分别为24.76%和20.70%;平均每张处方金额对照组和研究组分别为143.48元和145.21元。结论:妇幼专科医院应用处方前置审核系统有利于提升处方和医嘱合格率,促进合理用药和药师服务转型,并更好地为妇女儿童提供更优质的药学服务。OBJECTIVE To investigate the implementation and efficacy of prescription pre-audit in a maternal and child health hospital,and to provide reference for rational drug use in relevant medical institutions.METHODS The prescription data of 12 months before the implementation of prescription pre-audit system(July 2018 to June 2019)and those of 12 months after the implementation(August 2019 to July 2020)in a maternal and child health hospital were selected respectively as control group and research group.The pharmacist review workload,medical order/prescription qualification rate and changing trends,use rate of antibiotics,and average cost of prescriptions were compared between the two groups,and the types of the unqualified medical order/prescription were analyzed,and then the experience and problems of applying the prescription pre-audit system were dis⁃cussed.RESULTS The pharmacist review rate of inpatient doctor’s orders after applying the prescription pre-audit system was 1.57%,the that of outpatient and emergency prescriptions were 0.19%;the qualified rates of inpatient doctor’s orders,outpa⁃tient and emergency prescriptions in the control group were 96.61%and 98.27%,respectively,and those in the research group were 97.45%and 98.48%,respectively;the use rates of antibacterial drugs in the control group and the research group were 24.76%and 20.70%,respectively;and the average amount of each prescription in the control group and the research group were 143.48 yuan and 145.21 yuan,respectively.CONCLUSION The application of prescription pre-audit system in the maternal and child health hospital is conducive to improving the qualification rate of prescriptions and medical orders,promoting rational drug use and the transformation of pharmacist services,and better providing more accurate and high-quality pharmaceutical ser⁃vices for women and children.

关 键 词：处方前置审核 妇幼专科医院 合理用药 

分 类 号：R952[医药卫生—药学]