首页|基于审方中心信息化和药师同质化促进门急诊处方合理性的效果分析

基于审方中心信息化和药师同质化促进门急诊处方合理性的效果分析

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目的 探讨审方中心信息化和药师同质化对提高门急诊处方合理性的效果.方法 基于合理用药管理系统的系统规则和人工设置的自定义规则,经过信息化和流程规范化管理,比较审方中心成立前(2023年2-7月)和成立后(2023年8月-2024年1月),药师审方质量、效率同质化和处方合理率的变化情况.结果 与审方中心成立前比较,审方中心成立后审方药师审核通过率显著提高(P<0.05),平均耗时均延长(P<0.01):平均耗时、通过平均耗时和打回平均耗时分别由(4.50±0.58)、(4.50±0.58)、(4.75±0.96)s 延长至(11.67±1.03)、(8.50±0.55)和(13.17±0.98)s.门急诊处方不合理率由2023年8月6.27%逐月下降至2024年1月0.93%(P<0.01).审方中心成立以来干预系统规则数和门急诊处方不合理率具有显著相关性(P=0.004 4).结论 利用审方中心平台,成立专职审方药师和信息药师团队,通过信息化和规范化管理流程,可助力提升审方质量与效率,提高处方合格率,提高医院管理水平和医疗质量.
Effect Analysis of the Informatization of the Prescription Review Center and the Homogeneity of Pharmacist Service in Promoting the Rationality of Outpatient and Emergency Department Prescriptions
Objective To discusse the application effects of the informatization of the review center and the homogeneity of pharmacists on the rationality of emergency department prescriptions.Methods Based on the system rules of the rational drug use management system and manually set custom rules,the changes in pharmacist's review quality,efficiency homogeneity,and prescription rationality were compared before(February 2023 to July 2023)and after(August 2023 to January 2024)the construction of the review center,according to the informatization and process standardization management.Results After the establishment of the review center,analysis of variance showed that the approval rate of pharmacist's review significantly increased compared to before the establishment of the review center(P<0.05),while the average time consumption increased significantly(P<0.01).The average review time,average approval time,and average review return time have been extended from(4.50±0.58),(4.50±0.58),and(4.75±0.96)s to(11.67±1.03),(8.50±0.55)and(13.17±0.98)s,respectively.The trend chi-square test showed that the irrationality rate of emergency department prescriptions decreased monthly from 6.27%in August 2023 to 0.93%in January 2024(P<0.01).Correlation analysis between the number of intervention system rules since the establishment of the review center and the irrationality rate of emergency department prescriptions revealed a significant correlation(P=0.004 4).Conclusions By utilizing the platform of the review center,establishing dedicated review pharmacists and an information pharmacist team,and implementing informatization and standardized management processes,it can contribute to improving the quality and efficiency of prescription review,increasing the qualification rate of prescriptions,ensuring rational drug use,and enhancing the management level and medical quality of hospitals.

Prescription reviewReview centerHomogeneity of pharmacists serviceInformatizationRational use of drugs

李从欣、李雪靖、高丽洁、陈佳、东磊磊、刘西哲、潘颖、郄素会

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河北医科大学第三医院药剂科,石家庄 050051

处方审核 审方中心 药师同质化 信息化 合理用药

2025

医药导报
中国药理学会 华中科技大学同济医学院附属同济医院 中国医药商业协会

医药导报

北大核心
影响因子:1.042
ISSN:1004-0781
年,卷(期):2025.44(1)