中国药房Issue(4)：461-463,3.DOI:10.6039/j.issn.1001-0408.2016.04.09
我院门诊收费前审核处方的运行实践
Operation Practice of Outpatient Prescriptions Audit before Payment in Our Hospital
王欣 1徐健 1丁曦 1宁华1
作者信息
- 1. 北京大学肿瘤医院暨北京市肿瘤防治研究所药剂科/恶性肿瘤发病机制及转化研究教育部重点实验室，北京 100142
- 折叠
摘要
Abstract
OBJECTIVE:To provide reference for prescriptions audit before payment in hospital pharmacy. METHODS:The management measures of prescriptions audit and intervention before payment in our hospital were introduced. 1 200 outpatient pre-scriptions within 1 year before and after management were subjected to a statistical analysis. The effects of prescriptions audit be-fore payment were evaluated through analyzing and comparing qualification rate of prescription and unqualified prescriptions. RE-SULTS:Our hospital adopted a series of measure to realize prescriptions audit and intervention before payment by clinical pharma-cists,such as using information audit system,formulating audit standard,educating pharmacists,establishing audit job system, prescriptions review and feedback system,setting up communication system,etc. Of the total audited 189 665 prescriptions, 14 581(7.69%)failed to audit and 606 prescriptions hadn’t been revised after 1 year management,with effective intervention rate of 95.84%. Compared with before management,the prescription qualification rate increased from 88.83% to 98.67% after manage-ment(P<0.01). The quantity of overdose,inconformity with medical insurance,overload and other conditions reduced to 0. CON-CLUSIONS:It is feasible for pharmacists to audit and intervent prescriptions before payment in hospital pharmacy to improve pre-scription qualification and promote rational drug use in the clinic.关键词
处方审核/处方点评/不合理处方/合理用药Key words
Prescription audit/Prescriptions review/Irrational prescriptions/Rational drug use分类
医药卫生引用本文复制引用
王欣,徐健,丁曦,宁华..我院门诊收费前审核处方的运行实践[J].中国药房,2016,(4):461-463,3.
