摘要
目的促进中药注射剂合理用药,保障用药安全有效,规范医师处方行为。方法通过制订审方规则表,对阳江市人民医院"智慧合理用药处方前置审核系统(简称审方系统)"的"知识库"中存在不合理或不完善的规则进行优化设置,结合医院中药注射剂实际用药情况及存在的不合理问题,对中药注射剂用药规则在适应证、用法用量、重复用药等方面进行用药规则精细化设置,以保障用药合理安全有效。统计精细化设置后(2019年6—9月)中药注射剂的处方及医嘱合格率、处方前置审核干预成功率及审核类型不合理率。结果从2019年6—9月,系统拦截中药注射剂处方及医嘱合格率从81.43%逐渐升高至96.83%,处方前置审核时药师干预问题处方成功率从40.04%上升至89.01%,其中用法用量、重复用药、联合用药问题类型占比降幅显著。结论对中药注射剂用药规则进行精细化设置促进了处方前置审核工作的有效开展,提高了中药注射剂合理使用,培养了审方药师的综合能力。
Objective To promote reasonable application of traditional Chinese medicine injections,ensure the safety and effectiveness of drug use,and standardize the prescription behavior of doctors.Methods By formulating the rules of the examination party,we optimized the existence of unreasonable or imperfect rules in the"knowledge base"of the"Smart and Rational Drug Prescription Pre-audit Examination System(referred to as the examination party system)"of Yangjiang People’s Hospital.Combining the unreasonable problems of actual medication situation of traditional Chinese medicine injection in hospitals,the rules for the prescription of traditional Chinese medicine injections in terms of indications,usage and dosage,repeated medication,etc.are refined to ensure reasonable,safe and effective medication.After the statistics were refined(June-September 2019),the prescription and doctor order eligibility rates of Chinese medicine injections,the success rate of pre-audit review interventions,and the unreasonable rate of audit types.Results From June to September,2019,the qualified rate of prescriptions and doctor’s orders for systematic interception of traditional Chinese medicine injections gradually increased from 81.43%to 96.83%,and the successful rate of prescriptions for pharmacists’intervention problems increased from 40.04%to 89.01%.Among them,the percentage of usage,dosage,repeated medication,and combination medication problems decreased significantly.Conclusion The elaborate setting of the medication rules of traditional Chinese medicine injections in our hospital promotes the development of the pre-prescription audit,improves the rational use of traditional Chinese medicine injections,and cultivates the comprehensive ability of the examining pharmacists.
作者
程俏添
余海
杨艳婷
洪瑞彩
许开成
CHENG Qiao-Tian;YU Hai;YANG Yan-Ting;HONG Rui-Cai;XU Kai-Cheng(Pharmaceutical Department of Yangjiang People's Hospital,Yangjiang 529566,China;Pharmaceutical Department of the First Affiliated Hospital of Sun Yat sen University,Guangzhou 510080,China;Rehabilitation Department of Yangjiang People's Hospital,Yangjiang 529566,China)
出处
《中国药物经济学》
2020年第1期37-41,46,共6页
China Journal of Pharmaceutical Economics
关键词
中药注射剂
前置审核
精细化设置
用药规则
Traditional Chinese medicine injection
Pre-audit
Fine setting
Medication rules
