住院医嘱前置审核+人工审核药学服务模式的实践与探讨OACSTPCD

Objective:To summarize and analyze the results of pre-review+manual review of inpatient medical orders,so as to promote clinical standard drug use and ensure medication safety of patients.Methods:Retrospective analysis method and Excel software were used to summarize the medical order review data in the inpatient electronic medical record system and clinical rational drug use intelligent management system(pre-review system)in 2020.Data of medical orders pre-review+manual review were analyzed,and the analysis results were summarized and discussed.Results:There were 913,742 medical orders pre-reviewed by the inpatient medical order pre-review system,and the total number of irrational medical orders was 22,014,accounting for 2.41％.The top three types of irrational medical orders were the inappropriate dosage,improper dosage form or inappropriate administration route,and repeated medication.A total of 455,676 medical orders were manually reviewed and 6,875 medication recommendations were provided,with response rate of 82.05％.The top three types of irrational medical orders were inappropriate usage and dosage,improper selection and inappropriate indication.Conclusion:The mode of pre-review+manual review of inpatient medical orders complement each other,which can timely find the irrational drug use phenomenon in inpatient medical orders,effectively guarantee the safe drug use of patients,and improve the level of pharmaceutical care.