首页|基于区域版前置审方系统提升药学服务的实践与探讨

基于区域版前置审方系统提升药学服务的实践与探讨

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目的 介绍我院区域版前置审方中心的建设及审方系统在药学服务的实践经验,并评价区域版审方系统运行效果.方法 通过抽取2021年8~11月单机版审核处方作为对照组(区域版前置审方上线前),2022年8~11月区域版审核处方作为观察组(区域版前置审方上线后),比较区域版审方系统运行前后医院处方合格率、各类型不合理处方干预情况占比、人工审方干预成功效率等进行比较分析.结果 经过区域版前置审方系统运行后,处方合格率、人工审方干预成功率等方面均大幅度提升.其中处方合格率由94.5%提升至98.0%,前置审核不合理处方干预成功率由47.29%提升至73.41%,各类型不合格处方干预成功率有显著改善,且所得数据具有统计学意义.结论 与单机版前置审方系统相比,区域版前置审方系统能够实现医联体内处方同质化审核,对于提高医联体的处方合格率和合理用药水平起到很好的作用,更能及时有效发现不合理用药的问题,有力地保障患者的用药安全,是当前医联体下医院的药学服务的不错模式,值得推广与应用.
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

李伟山、陈月华、朱海英、常花蕾、刘家平、刘璟

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福建医科大学附属厦门弘爱医院药学部,福建厦门 361000

厦门弘爱妇产医院药学部,福建厦门 361000

区域版前置审方 药学服务 审方系统 合理用药

中国药学会科技开发中心

CMEI 2022KPYJ00511

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(8)