处方前置审核系统对静脉药物配置中心不合理医嘱的干预分析  

Intervention analysis of prescription pre-approval system on unreasonable medical orders in intravenous drug dispensing center

作　　者：阮锐宏 肖玉婵 Ruan Ruihong;Xiao Yuchan(Zhongshan People's Hospital,Zhongshan,Guangdong 528400,China)

机构地区：[1]广东省中山市人民医院,广东中山528400

出　　处：《首都食品与医药》2025年第3期82-84,共3页Capital Food Medicine

摘　　要：目的探讨处方前置审核系统对静脉药物配置中心不合理医嘱的干预价值.方法选择我院2022年1月-2023年12月静脉药物配置中心处方40000份进行研究,将其利用"非同周期法"分组(n=20000),分别实施常规处方审核(对照组,2022年1月-12月)、处方前置审核系统(观察组,2023年1月-12月).对比两组不合理医嘱发生率、不合理原因、配置效率、工作人员满意度.结果40000份处方中出现不合理处方62份,其中观察组不合理医嘱发生率降低,而不合理原因主要为溶媒使用不当、药物配伍不当、液体量不当等(P<0.05);观察组审方时间、排药时间、配药时间、患者等待时间缩短,而工作人员满意度升高,P<0.05.结论处方前置审核系统对静脉药物配置中心不合理医嘱的干预价值较高,既可提高配置效率,亦可降低不合理医嘱发生率,继而提升工作人员满意度,值得借鉴.Objective To explore the intervention value of the prescription pre-approval system on unreasonable medical orders in intravenous drug dispensing centers.Methods A study was conducted on 40000 prescriptions from the intravenous drug dispensing center of our hospital from January 2022 to December 2023.They were divided into two groups using the"non same period method"(n=20000)and subjected to routine prescription review(control group,January to December 2022)and prescription pre review system(observation group,January to December 2023).Compare the incidence rate,reasons,configuration efficiency,and staff satisfaction of two groups of unreasonable medical orders.Results Among 40000 prescriptions,62 were found to be unreasonable,and the incidence of unreasonable medical orders decreased in the observation group.The main reasons for unreasonable orders were improper use of solvents,improper drug compatibility,and improper liquid volume(P<0.05);the observation group's prescription review time,medication time,dispensing time,and patient waiting time have been shortened,while staff satisfaction has increased(P<0.05).Conclusion The prescription pre-approval system has a high intervention value for unreasonable medical orders in the intravenous drug dispensing center,which can improve dispensing efficiency,reduce the incidence of unreasonable medical orders,and thus improve staff satisfaction.It is worth learning from.

关 键 词：处方前置审核系统 静脉药物配置中心 不合理医嘱 配置效率 干预价值 

分 类 号：R969.3[医药卫生—药理学]