处方前置审核系统对产科门诊处方质量的影响  

Effect of pre-prescription review system on prescription quality of obstetrics clinic prescriptions

作　　者：王文芳[1] 高媛媛[1] WANG Wenfang;GAO Yuanyuan(Department of Pharmacy,Jinan Maternity and Child Care Hospital,Shandong Province,Jinan250000,China)

机构地区：[1]济南市妇幼保健院药剂科,山东济南250000

出　　处：《中国当代医药》2024年第19期127-130,共4页China Modern Medicine

基　　金：山东省济南市卫生健康委员会科技计划项目(2022-2-108)。

摘　　要：目的分析推行处方前置审核系统对济南市妇幼保健院(以下简称“本院”)产科处方质量的影响。方法选取2021年1月至4月及2023年1月至4月本院的产科门诊处方。采用处方前置审核系统之后,观察2021年1月至4月产科门诊不合理处方分布情况,并对不合理处方进行分析,针对“孕X周”的不合理处方采取相应的处理措施,以及观察2023年1月至4月本院产科门诊处方合格率的变化。结果2021年1月至4月产科门诊处方中,不合格处方数占比20.4%,适应证不适宜处方数占不合格处方数的91.62%,临床诊断为“孕X周”的不合格处方数占适应证不适宜处方数的93.52%。针对诊断为“孕X周”的不合理处方汇总用药规则并向产科医师反馈之后,2023年1月至4月本院产科门诊处方合格率为96.58%,与2021年1月至4月本院产科门诊处方合格率相比提高了16.98%。结论处方前置审核系统使本院产科门诊处方合格率有了很大的提升。Objective To analyze the effect of pre-prescription review system on the quality of obstetric prescriptions in Jinan Maternal and Child Care Hospital(hereinafter referred to as"our hospital").Methods The obstetrical outpatient prescriptions of our hospital were selected from January to April 2021 and January to April 2023.After adopting the prescription pre-review system,the distribution of unreasonable prescriptions in the obstetrics outpatient department was observed from January to April 2021,and the unreasonable prescriptions were analyzed,corresponding measures were taken for unreasonable prescriptions in the"X week of pregnancy",and the changes in the qualified rate of prescriptions in the obstetrics outpatient department of our hospital were observed from January to April 2023.Results From January to April 2021,the number of unqualified prescriptions accounted for 20.4%,the number of unsuitable prescriptions for indications accounted for 91.62%,and the number of unqualified prescriptions for clinical diagnosis of"X weeks of pregnancy"accounted for 93.52%.After collecting medication rules for unreasonable prescriptions diagnosed as"X weeks of pregnancy"and giving feedback to obstetricians,the qualified rate of obstetrics outpatient prescriptions in our hospital from January to April 2023 was 96.58%,which increased by 16.98%compared with that from January to April 2021.Conclusion The pre-prescription review system has greatly improved the prescription qualification rate in obstetrics outpatient department of our hospital.

关 键 词：处方前置审核 产科门诊处方 合理用药 规则维护 

分 类 号：R95[医药卫生—药学]