Practice and Discussion of Improving Pharmaceutical Care Based on Regional Version of Pre-review Prescription System
OBJECTIVE To introduce the establishment of the regional version of pre-prescription review center and the practical experience of the pre-prescription review system in pharmaceutical service,and to evaluate the oper-ation effect of the regional version of the pre-prescription review system.METHODS By taking the stand-alone re-view prescription from August to November 2021 as the control group(before the regional pre-review prescription was online)and the regional review prescription from August to November 2022 as the observation group(after the re-gional pre-review prescription was online),the qualified rate of hospital prescriptions,the proportion of various types of irrational prescription intervention,and the success efficiency of manual prescription review intervention were com-pared before and after the operation of the regional version of prescription review system.RESULTS After the oper-ation of the regional version of pre-prescription review system,the qualified rate of prescriptions and the success rate of manual review intervention were greatly improved.Among them,the qualified rate of prescription increased from 94.5%to 98.0%,the success rate of pre-review unreasonable prescription intervention increased from 47.29%to 73.41%,The success rate of each type of unqualified prescription intervention was significantly improved,and the data obtained were statistically significant.CONCLUSION Compared with the single version of the pre-prescription review system,the regional version of the pre-prescription review system can achieve the homogeneity of prescription review within the medical alliance,play a good role in improving the prescription qualification rate and the level of ra-tional drug use in the medical alliance,and can find the problem of irrational drug use in a timely and effective way,effectively ensure the drug safety of patients.It is a good model for the pharmaceutical service of the hospital under the medical alliance.It is worth popularizing and applying.
Regional pre-reviewerPharmaceutical servicesPrescription review systemRational use of drugs