首页|特殊人群中成药精细化用药规则在处方审核系统的建立与应用

特殊人群中成药精细化用药规则在处方审核系统的建立与应用

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目的:为保障特殊人群合理规范使用中成药,开发并不断优化处方审核系统中成药精细化用药规则。方法:根据药品说明书、最新用药指南及专家共识等设立特殊人群中成药精细化用药规则,对广州医科大学附属妇女儿童医疗中心的合理用 药处方审核系统进行功能补充和规则优化,保障用药合理安全有效。统计中成药精细化用药规则建立后的处方审核拦截率、审核类型分布等。对审核规则进行不断优化,同时通过弹窗提示等功能提高门诊特殊人群中成药处方合格率,规范临床合理用药。结果:特殊人群中成药精细化用药规则能够实现对用法、用量及给药途径不适宜,禁用、慎用、忌用情况、过敏用药,相互作用和重复用药等错误的审核,审核拦截率适宜(4。45%),审核成功率较高(94。83%)。特殊人群中成药精细化用药规则设置前后审核准确率具有显著性差异(P<0。01)。结论:对中成药用药规则进行精细化设置,促进了专科医院处方审核工作的有效开展,规范了特殊人群中成药合理使用。
Establishment and application of traditional Chinese patent medicines and simple preparations refined medication rules for special population in prescription review system
OBJECTIVE To develop and refine rules pertaining to traditional Chinese patent medicines within the prescrip-tion review system to promote the rational and canonical utilization of these medicines among specific populations.METHODS The refined medication rules of traditional Chinese patent medicines among special populations were established through the instructions of package insert,recent medication guidelines and expert consensuses.Adding functions and optimizing the rules of preapproval system concerning rational medication prescriptions were implemented for ensuring the rational,safe and effective use of medication.The interception rate of prescription audit and the distribution of audit types were counted after establishing refined rules of traditional Chinese patent medicines among special populations.By continuously optimizing audit rules,additionally,add-ing pop-up window tips and other functions,clinical pharmacists could improve the qualification rate of prescription regarding tradi-tional Chinese patent medicines among special outpatients and standardize clinical rational drug use.RESULTS The audit of refined rules pertaining to traditional Chinese patent medicines among special populations could detect such errors as inappropriate use,incorrect dose and improper dosing route,prohibited use,caution and avoidance use,allergic drug use,drug interactions and repeated drug use.Audit interception rate was valued at 4.45%and the success rate of audit relatively high at 94.83%.There is a significant difference in the audit accuracy rate before and after refining rules of traditional Chinese patent medicines among special populations(P<0.01).CONCLUSION The refined rules of traditional Chinese patent medicines have facilitated an effective implementation of prescription reviews at specialist hospitals and standardized the rational utilization of Chinese patent medicines among special populations.

special groupstraditional Chinese patent medicinesrefined settingsmedication rules

李佳乐、舒蓉、钟秀秀、邹文清、钟丽红、陈怡祿、和凡、黄兆耆、莫小兰

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广州医科大学附属妇女儿童医疗中心药学部,广东广州 510620

特殊人群 中成药 精细化设置 用药规则

广州市中医药和中西医结合科技项目广东省药学会项目

20222A0100362022A16

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(9)
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