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我院门诊药房事前审方系统的建立与应用

郭安平 方明

中国药房2016,Vol.27Issue(34):4823-4825,3.
中国药房2016,Vol.27Issue(34):4823-4825,3.DOI:10.6039/j.issn.1001-0408.2016.34.22

我院门诊药房事前审方系统的建立与应用

Construction and Application of Prescription Checking Beforehand System in Outpatient Pharmacy of Our Hospital

郭安平 1方明1

作者信息

  • 1. 安徽医科大学附属省立医院药剂科,合肥 230001
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摘要

Abstract

OBJECTIVE:To discuss the effects of construction and application of the prescription checking beforehand system on rational drug use in outpatient department. METHODS:According to the demands of outpatient pharmacy,related module of previous HIS was revised to develop prescription checking beforehand system;the system was used to check outpatient prescription beforehand and related supporting measures were implemented. The changes of related evaluation index were compared before (Apr.-Sept. in 2014) and after (Apr.-Sept. in 2015) the implementation of prescription checking beforehand system. RESULTS:The rationality of outpatient prescription could be checked before payment in our hospital through establishing prescription checking module,formulating workflow of prescription checking system and conducting prescription intervention management. Compared with before the implementation of the system,utilization ratio of oral antibiotics,utilization ratio of antibiotics for injection and the rate of irrational prescription decreased from 25.7%,31.5%,5.10% to 16.5%,19.8%,1.98%. Successful rate of irrational pre-scription intervention increased from 24.3% to 85.5%. The incidence of ADR induced by wrong prescription,the rate of overproof medical insurance cost and the rate of outpatient complaint decreased significantly (P<0.000 1). CONCLUSIONS:The construc-tion of prescription checking beforehand system can promote rational drug use and hospital service.

关键词

事前审方系统/门诊处方/处方干预/合理用药

Key words

Prescription checking beforehand system/Outpatient prescription/Prescription intervention/Rational drug use

分类

医药卫生

引用本文复制引用

郭安平,方明..我院门诊药房事前审方系统的建立与应用[J].中国药房,2016,27(34):4823-4825,3.

中国药房

OA北大核心CSTPCD

1001-0408

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