中国药房2026，Vol.37Issue(1)：6-10,5.DOI:10.6039/j.issn.1001-0408.2026.01.02
云南省处方前置审核系统应用现状分析
Analysis of the application status of prescription pre-review systems in Yunnan province
摘要
Abstract
OBJECTIVE To investigate the application status of prescription pre-review systems in healthcare institutions of Yunnan province,evaluate their system functions and management capabilities,and provide a practical basis for promoting rational drug use.METHODS A questionnaire survey was conducted among public healthcare institutions at or above the secondary level in Yunnan province to investigate the deployment status of the systems.A capability maturity assessment framework was constructed,encompassing 6 dimensions and 39 indicators,including real-time prescription review,prescription correlation review,rule setting,evidence-based information support,prescription authority management,and system operation management.This framework was then used to evaluate the institutions that had implemented the pre-review systems.RESULTS A total of 100 valid questionnaires were collected,with 37 institutions having adopted prescription pre-review systems,mainly tertiary hospitals.The system predominantly adopted a modular architecture and was embedded into the hospital information system through application programming interfaces and middleware,providing certain capabilities for real-time prescription risk identification.Evaluation results indicated that basic functions such as reviewing indications,contraindications,and drug compatibility performed well,while deficiencies remained in functions related to parenteral nutrition prescription,review of drug dosage for specific diseases,individual patient characteristic recognition,and rule setting.Moreover,the construction of review centers and establishment of management systems were also not well-developed.CONCLUSIONS The overall application rate of prescription pre-review systems in Yunnan province remains low.System functions and management mechanisms require further improvement.It is recommended to enhance information infrastructure in lower-level institutions and explore regionally unified review models to promote standardized and intelligent development of prescription review practices.关键词
前置审核/处方审核/医疗机构/合理用药/能力成熟度Key words
pre-review/prescription review/healthcare institutions/rational drug use/capability maturity分类
医药卫生引用本文复制引用
徐帆,李特,尹文洁,李珂佳,李正富,陈洁,邬梅仙,陈瑞祥,李松梅,张国文..云南省处方前置审核系统应用现状分析[J].中国药房,2026,37(1):6-10,5.基金项目
云南省科技厅科技计划项目(No.202101AY070001-293) （No.202101AY070001-293）
云南省药学会科技计划项目(No.2024A01) （No.2024A01）
