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处方前置审核模式的建立及对处方质量的影响 被引量:4

The Establishment of Pre-prescription Review Mode and its Impact on the Quality of Prescriptions
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摘要 目的探讨利用信息化辅助门诊处方前置审核的运行对门诊处方质量的影响。方法汇总2018年11月—2019年3月智能辅助决策系统上线后对门诊干预的处方,分析问题处方特点。同时搜集2017年11月—2018年3月未引进该系统门诊处方前置审核资料,进行对比分析。结果系统上线后处方合格率均在99.70%以上,医师主动修改率平均为46.93%,药师平均处方干预率9.22%,不合理类型主要为诊断不全、相互作用、用法用量不适宜。结论利用信息系统辅助处方前置审核模式,可有效提高处方质量。药师需在实践中不断优化和完善规则,从而保证用药安全。 Objective To explore the influence of information-assisted prereview of outpatient prescriptions on the quality of outpatient prescriptions.Methods Summarize the prescriptions of outpatient intervention after the intelligent assistant decision-making system went online from November 2018 to March 2019,and analyze the characteristics of problem prescriptions.At the same time,the pre-review data of outpatient prescriptions from November 2017 to March 2018 were collected for comparative analysis.Results After the system went online,the prescriptive eligibility rates were all above 99.70%,the average active revision rate was 46.93%,and the average pharmacist intervention rate was 9.22%.The unreasonable types are mainly incomplete diagnosis,interaction,and inappropriate dosage.Conclusion The quality of prescription can be improved effectively by using the information system to assist the pre audit mode of prescription.Pharmacists need to continuously optimize and improve rules in practice to ensure medication safety.
作者 徐晶晶 林武斌 XU Jingjing;LIN Wubin(Department of Pharmacy,Women and Children’s Hospital,School of Medicine,Xiamen University/Xiamen maternal and Child Health Hospital,Xiamen Fujian 361003,China)
出处 《中国卫生标准管理》 2020年第4期91-93,共3页 China Health Standard Management
关键词 信息化 系统 处方审核 前置审核 合理用药 安全 informatization system prescription review pre-review rational drug use safety
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