中国医院用药评价与分析2026，Vol.26Issue(3)：291-294,4.DOI:10.14009/j.issn.1672-2124.2026.03.008
6级电子病历系统的应用对骨科门诊合理用药的影响分析
Effects of Application of Level-6 Electronic Medical Record System on Rational Drug Use in Orthopaedic Outpatient Department
摘要
Abstract
OBJECTIVE:To explore the effects of application of level-6 electronic medical record system on rational drug use in the Orthopedic Outpatient Department.METHODS:Clinical data of patients who received prescription medication in orthopedic outpatient department of our hospital were retrospectively selected.The patients were grouped according to the implementation time of level-6 electronic medical record system in Jun.2024,before the implementation(from Mar.to May 2024)was selected as the control group,and after the implementation(from Jul.to Sept.2024)was selected as the observation group.The number of prescriptions,distribution of prescription drugs and rational use of drugs were analyzed.The main observation indicators included prescription compliance rate,average drug cost per patient,patient satisfaction rate,system submission rate and pharmacist review rate.RESULTS:The prescription compliance rate in the observation group was 99.85％(33 315/33 365),higher than 97.72％(36 405/37 254)in the control group;the patient satisfaction rate was 97.85％(32 648/33 365),higher than 96.99％(36 133/37 254)in the control group;the system submission rate was 0.90％(300/33 365),lower than 1.80％(671/37 254)in the control group;the rate of submission for pharmacist review was 0.23％(76/33 365),lower than 1.43％(531/37 254)in the control group,the differences were statistically significant(P<0.05).The proportion of Chinese patent medicine in the observational and control groups were respectively 37.00％(12 346/33 365)and 37.20％(13 858/37 254),with no statistically significant differences(P>0.05).The average drug cost per patient in the observation group was 306.36 RMB,which was lower than 356.60 RMB in the control group.CONCLUSIONS:The application of the level-6 electronic medical record system helps to form a closed-loop data management model for rational drug use in the Orthopedic Outpatient Department,timely intercepts irrational prescriptions,promotes the improvement of prescription compliance rate,effectively reduces medical expenses,and effectively guarantees the quality of diagnosis and treatment and patient satisfaction.关键词
6级电子病历系统/合理用药/门诊处方/医疗费用Key words
Level-6 electronic medical record system/Rational drug use/Outpatient prescriptions/Medical expenses分类
医药卫生引用本文复制引用
李茜,白晓冬,程晟,郭欣..6级电子病历系统的应用对骨科门诊合理用药的影响分析[J].中国医院用药评价与分析,2026,26(3):291-294,4.基金项目
北京市医院管理中心北京市属医院科研培育计划项目(No.PG2024002) （No.PG2024002）
