Analysis of the Effect of the Pretrial Prescription System on the Reasona-ble Rate of Outpatient and Emergency Prescriptions
OBJECTIVE To analyze the probability and classification of unreasonable prescriptions under the conventional prescription review mode,and explore the effect of the pre-examination prescription system on the rea-sonable rate of prescriptions.METHODS 2000 outpatient prescriptions under the routine prescription review mode of our hospital from January 2020 to June 2020 were randomly selected as the control group to analyze the probability of unreasonable prescriptions and explore the reasons for their occurrence.In addition,2000 outpatient and emergency prescriptions in our hospital from January 2022 to June 2022 were randomly selected as the experimental group to an-alyze the probability of unreasonable prescriptions and explore the effect of the pretrial prescription system on impro-ving the reasonable rate of prescriptions.RESULTS Under the conventional prescription review mode,the probabil-ity of unreasonable prescriptions was 9.40%.The main types of unreasonable prescriptions were irregular prescrip-tions and inappropriate prescriptions for drug use.Under the pretrial pre-examination mode,the probability of unrea-sonable prescription was 4.45%.Compared with the control group,the probability of unreasonable prescription was significantly reduced(P<0.05),patient satisfaction was significantly increased(P<0.05),and clinical rational drug use was significantly increased(P<0.05).CONCLUSION The pre-examination prescription system can ef-fectively reduce the probability of unreasonable prescriptions in outpatient and emergency cases,improve patient sat-isfaction,and improve the level of clinical rational drug use,which is worthy of clinical promotion.
Outpatient western pharmacyPretrial prescription systemUnreasonable prescriptionPatient satisfactionReasonable drug use