摘要
目的:分析合理用药监测系统(PASS 1.6.1.7)在处方审核中存在的问题并探讨对策。方法:采用回顾性方法,随机抽取我院2015年第一季度处方4 942张,对PASS审核结果与药师点评结果进行比较分析,并对软件审核出现的问题提出相应对策。结果与结论:PASS与药师审核的处方合格率分别为81.20%、97.40%;PASS将合理处方审为不合理处方的有929张(18.80%),主要涉及用法用量、西药与中成药开具在同一处方上、重复用药及慎用等情况;PASS将不合理处方审为合理处方的有122张(2.47%),主要涉及用法用量、诊断与用药不符等方面。发生原因主要是医院相关管理不完善及软件智能化程度不高等。建议医院加强对信息系统的数据维护管理及PASS开发方对软件规则进行相应改进等,以提高处方审核的准确率。
OBJECTIVE：To analyze the problems about the prescription review by the monitoring system for rational drug use（PASS 1.6.1.7）and discuss the countermeasures.METHODS：A retrospective method was adopted.A total of 4 942 prescriptions of our hospital in the first quarter of 2015 were selected at random,and reviewed by PASS and the pharmacist respectively.The review results were analyzed,and then countermeasures were put forward for the problems found to exist in the software review.RESULTS CONCLUSIONS：The conformity rates of prescriptions which had been determined as acceptable through PASS review and pharmacist review were 81.20% and 97.40% respectively.PASS misjudged 929（18.80%） rational prescriptions as irrational ones,mainly concerning administration and dosage,simultaneous existence of Western medicine and Chinese patent medicine on one prescription,repeated drug use and use with caution,etc.PASS misjudged 122（2.47%）irrational prescriptions as rational prescriptions,mainly concerning administration and dosage,inconformity between diagnosis and drug use,etc.The above-said problem was attributed to imperfect hospital management and insufficient software intelligence.It is suggested that the hospital should strengthen the data maintenance and management of information system and PASS developer should improve software rules to increase the accuracy rate of prescription review.
出处
《中国药房》
CAS
北大核心
2015年第22期3159-3161,共3页
China Pharmacy
关键词
合理用药监测系统
审核
处方点评
对策
Monitoring system for rational drug use
Review
Prescription evaluation
Countermeasure
