摘要
目的探索处方前置审核模式,保障患者合理和安全用药。方法通过合理用药系统制定审方规则,对不同问题处方进行分级管理,比较门急诊处方和住院医嘱单用系统审核与及人工审核相结合的处方前置审核模式对临床合理用药的影响。结果与单用系统审核相比,系统审核与人工审核相结合的模式能降低门急诊处方假阳性率6.27%,降低住院医嘱假阳性率8.40%。结论系统审核与人工审核相结合的处方前置审核模式是当前较为合理的模式,既可有效规范医生的处方行为,又可提高合理用药水平和处方质量。
Objective To investigate the mode of pre-prescription review in order to improve safe and rational use of drugs.Methods The rules of pre-prescription review were formulated by the rational drug use system.The data of outpatient and emergency prescriptions,and inpatient medical orders were collected.The impacts of system review combined with or without manual review on the rational drugs use were compared.Results Compared with the system review mode,the combined mode can reduced the false positive rate of outpatient and emergency prescriptions and inpatient medical orders by 6.27%and 8.40%respectively.Conclusion The combined mode of system and manual review of pre-prescription review system is a reasonable mode,which regulates the doctor's prescription behavior effectively,improves the rational drugs use,and raises the quality of prescriptions.
作者
楼江
王刚
李晴宇
陈玲
王林
易成
严伟
LOU Jiang;WANG Gang;LI Qingyu;CHEN Ling;WANG Lin;YI Cheng;YAN Wei(Department of Clinical Pharmacy,the Affiliated Hangzhou First People's Hospital of School of Medicine,Zhejiang University,Hangzhou 310006,China;Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province,the Affiliated Hangzhou First People's Hospital of School of Medicine,Zhejiang University,Hangzhou 310006,China)
出处
《医药导报》
CAS
北大核心
2020年第9期1199-1202,共4页
Herald of Medicine
基金
浙江省医学重点学科资助项目(浙卫办[2018]2号)
杭州市医学重点学科资助项目(杭卫计发[2017]51号)
浙江省临床肿瘤药理与毒理学研究重点实验室资助项目(2020E10021)。
关键词
处方前置审核系统
系统审核
人工审核
合理用药
Pre-prescription review system
System review
Manual review
Rational drugs use
