中国药房Issue(22)：3159-3161,3.DOI:10.6039/j.issn.1001-0408.2015.22.42
合理用药监测系统存在的问题及对策探讨
Discussions on Problems about the Monitoring System for Rational Drug Use and Relevant Countermea-sures
高燕灵 1扶玲 1钟秀娟 1刘泽清1
作者信息
- 1. 惠州市中心人民医院，广东惠州 516001
- 折叠
摘要
Abstract
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 re-view results were analyzed,and then countermeasures were put forward for the problems found to exist in the software review. RE-SULTS & 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 pre-scriptions,mainly concerning administration and dosage,inconformity between diagnosis and drug use,etc. The above-said prob-lem 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 in-crease the accuracy rate of prescription review.关键词
合理用药监测系统/审核/处方点评/对策Key words
Monitoring system for rational drug use/Review/Prescription evaluation/Countermeasure分类
医药卫生引用本文复制引用
高燕灵,扶玲,钟秀娟,刘泽清..合理用药监测系统存在的问题及对策探讨[J].中国药房,2015,(22):3159-3161,3.
