摘要
目的:分析处方前置审核系统(PPS)对提高中药饮片处方合理性的作用。方法:抽取该院2020年4—10月(应用PPS前和2020年11月至2021年5月(应用PPS后)的中药饮片处方各512张为研究对象。比较PPS应用前后处方合理率、不合理率、药师干预有效率、不合理处方类型(中医辨证不适宜、遴选饮片或炮制品不适宜、特殊煎煮脚注不明确、有毒饮片剂量不合理、普通饮片剂量不合理、特殊人群禁忌、配伍禁忌、重复用药等)占比,并抽取应用PPS前后各200例患者,比较其用药不良事件发生率和满意度。结果:应用PPS后处方不合理率为16.02%(82/512),低于应用PPS前的41.41%(212/512),差异有统计学意义(P<0.05);应用PPS后各种不合理类型占比、不良事件发生率均低于应用PPS前,处方合理率、药师干预有效率、医师修改率均显著高于应用PPS前,差异有统计学意义(P<0.05);应用PPS后患者满意度为96.00%(192/200),高于应用PPS前的88.50%(177/200),差异有统计学意义(P<0.05)。结论:与常规后置审方比较,PPS可提高中药饮片处方的合理性和药师干预有效率,降低处方不合理率和不良事件发生率,提高患者满意度。
Objective:To analyze effects of prescription pre-audit system(PPS)on improving rationality of prescription of traditional Chinese medicine decoction pieces.Methods:512 prescriptions of traditional Chinese medicine decoction pieces in this hospital from April to October 2020(before the application of PPS)and from November 2020 to May 2021(after the application of PPS)were selected as the research objects.The rational rate,the irrational rate,the effective rate of pharmacist intervention,and the proportion of irrational prescription types(inappropriate TCM syndrome differentiation,inappropriate selection of decoction pieces or processed products,unclear footnotes of special decoction,unreasonable dose of toxic decoction pieces,unreasonable dose of common decoction pieces,contraindications of special population,incompatibility,repeated medication,etc.)before and after PPS application were compared.Further,200 patients before and after the application of PPS were selected,and the incidence of adverse drug events and the satisfaction degree were compared.Results:The irrational rate of prescription after the application of PPS was 16.02%(82/512),which was lower than 41.41%(212/512)before the application of PPS,and the difference was statistically significant(P<0.05).After the application of PPS,the proportion of various unreasonable types and the incidence of adverse events were lower than those before the application of PPS;the rational rate of prescription,the effective rate of pharmacist intervention and the rate of physician revision were significantly higher than those before the application of PPS;and the differences were statistically significant(P<0.05).Further,the patient satisfaction after the application of PPS was 96.00%(192/200),which was higher than 88.50%(177/200)before the application of PPS,and the difference was statistically significant(P<0.05).Conclusions:Compared with the conventional post-prescription prescription,PPS can improve the rationality of the prescription of traditional Chinese medicine decoction pieces and the effective rate of pharmacist intervention,reduce the irrational rate of prescription and the incidence of adverse events,and improve the patients’satisfaction.
作者
陈丽钦
CHEN Liqin(Traditional Chinese Medicine Pharmacy of the Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350000 Fujian,China)
出处
《中国民康医学》
2023年第16期147-149,153,共4页
Medical Journal of Chinese People’s Health
关键词
中药调剂
处方前置审核系统
中药饮片
处方审核
用药合理性
Chinese medicine dispensing
Prescription pre-audit system
Traditional Chinese medicine decoction pieces
Prescription audit
Medication rationality
