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南京市口腔医院前置审方系统的建立及应用体会

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构建南京市口腔医院前置审方系统。调取2022年7月-2023年6月该系统启动后共404 037张处方作为研究对象,统计不合理处方。系统预审弹窗率3。68%(14872/404037),医师主动修改率40。10%(5976/14872),药师干预率4。31%(349/8090),药师干预成功率98。57%(344/349),系统刚性拦截率1。06%(4278/404037),处方合理率98。85%(399410/404037)。主要不合理原因为重复用药、适应证不适宜或无适应证、遴选药物不适宜等。前置审方系统启用后不合理处方数量逐步减少。
Experience of Establishment and Application of a Pre-audit Prescription System in the Nanjing Stomatological Hospital
A pre-audit prescription system in Nanjing Stomatological Hospital was established.A total of 404037 prescriptions from July 2022 to June 2023 in this hospital were collected as research objects and statistically analyzed.The system pre-audited irrational rate was 3.68%(14872/404037),the physician initi-ated modification rate was 40.10%(5976/14872),the rate of pharmacist intervention was 4.31%(349/8090),the rate of successful intervention was 98.57%(344/349),the system rigid interception rate was 1.06%(4278/404037),the rational rate was 98.85%(399410/404037).The major irrational causes were repeated medica-tion,indications inappropriate or no indications,inappropriate medication selection,etc.The irrational pre-scriptions were gradually decreased during the application of the pre-audit prescription system.

Pre-audit prescriptionStomatological hospitalRational medicationPharmaceutical serviceSystem establishmentRules modification

朱妍蒨、郭玲、王燕、马祝悦、吴萌萌

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南京大学医学院附属口腔医院,南京市口腔医院,南京大学口腔医学研究所 药学部,南京 210008

南京医科大学第一附属医院 药学部,南京 210029

前置审方 口腔专科医院 合理用药 药学服务 系统建立 规则完善

江苏省药学会—奥赛康临床药学基金科研项目

A202001

2024

药学与临床研究
江苏省药学会

药学与临床研究

CSTPCD
影响因子:0.95
ISSN:1673-7806
年,卷(期):2024.32(4)