中国药业2024，Vol.33Issue(14)：30-33,4.DOI:10.3969/j.issn.1006-4931.2024.14.008
某院门急诊处方前置审核系统不合理医嘱拦截情况分析
Analysis of Interception of Irrational Medical Orders by the Prescription Pre-Review System of Outpatient and Emergency in a Hospital
摘要
Abstract
Objective To promote the safe and rational use of drugs in clinical practice.Methods The medical orders involving western medicines reviewed by the prescription pre-review system of outpatient and emergency in the Beijing Jishuitan Hospital,Capital Medical University from November 2022 to October 2023 were collected,and the rationality of medical orders was analyzed.Results A total of 3 230 289 medical orders were collected,of which 68 730 were irrational(2.13% );the irrational medical orders were mainly induced by inappropriate indications(49 162 cases,71.53% ),followed by repeated medication(9 629 cases,14.01% ),and the others were all induced by general irrationality,including inappropriate usage and dosage,incompatibility of drugs/adverse drug-drug interactions,inappropriate drug selection,inappropriate drug dosage form/administration route and inappropriate multiple factors.The inappropriate indications were mainly induced by some physicians' unfamiliarity with the indications of newly-added drugs in the hospital and false positives in the system judgment.The repeated medication were mainly induced by some physicians' unfamiliarity with the active ingredients,functions and indications of some compound preparation due to their complexity and the false positives caused by sequential treatment regimen.Conclusion The application of prescription pre-review system can effectively avoid the medication errors and decrease the irrational medication costs.For the false positives and false negatives in the system judgment,hospitals need to constantly update and improve the database;pharmacists should continuously increase their professional knowledge,and closely cooperate with physicians to continuously improve the quality of medical order review and promote the rational drug use in clinical practice.关键词
处方前置审核系统/门急诊/西药/不合理医嘱/帕累托图/合理用药Key words
prescription pre-review system/outpatient and emergency/western medicine/irrational medical order/Pareto diagram/rational drug use分类
医药卫生引用本文复制引用
赵暄,高薇,郑婷婷,郭婧,张威..某院门急诊处方前置审核系统不合理医嘱拦截情况分析[J].中国药业,2024,33(14):30-33,4.基金项目
首都医科大学附属北京积水潭医院院级管理创新项目[GL202405]. （）
