Whole-process Review and Intervention of Inpatient Medical Orders in a Hospital
Objective To establish a model for the whole-process review of and intervention in inpa-tient medical orders and promote rational use of drugs.Methods Ways to intervene in the pre-review and implementation of medical orders were explored.The extent to which this model helped minimize improper medical orders after one year was statistically analyzed and assessed.Results Between December 2020 and December 2021,a total of 755104 inpatient medical orders were reviewed,933 of which were considered inappropriate and subjected to intervention.The rate of inappropriate medical orders in the department of surgery was higher than that in the department of internal medicine.Among these substandard medical orders,60.13%were intervened in by prescription-checking pharmacists,compared with 39.87%by clini-cal pharmacists.The inappropriate medical orders intervened in by these two types of pharmacists had their own characteristics.Clinical pharmacists were better at finding more underlying problems.Conclusion This model for the whole-process review and intervention of inpatient medical orders can give full play to the strengths of both prescription-checking pharmacists and clinical pharmacists.Irrational medical orders can be brought under effective control and rational drug use can be promoted.
pharmacistsmedical orders whole-process review and interventionrational drug use
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