首页|处方前置审核在重点监控药品管控中的实践

处方前置审核在重点监控药品管控中的实践

扫码查看
目的 为药师参与重点监控药品管控和促进重点监控药品合理使用提供参考.方法 药师通过可视化软件Power BI分析我院2023年2月重点监控药品临床使用金额占比情况,对2023年2-5月使用重点监控药品的处方和医嘱进行事后点评,根据点评结果对我院使用的"医浦前置审方合理用药软件"原有的重点监控药品进行规则梳理,从基础规则和个性化规则两方面重新设置重点监控药品审核规则、划分不合理用药等级和制订提示语内容,采用系统审核和人工审核相结合的模式对重点监控药品实施处方前置审核.药师通过统计分析2023年6-11月的重点监控药品处方(医嘱)的不合格率以及2023年2-11月重点监控药品使用金额变化,评价开展处方前置审核对促进临床合理使用重点监控药品的效果.结果 加强重点监控药品处方前置审核后,重点监控药品不合理处方(医嘱)的不合格率明显下降,地佐辛、人血白蛋白、注射用雷贝拉唑、氨基酸注射液使用金额显著下降,重点监控药品使用金额占全院所有药品金额比从2月的8.7%下降至11月的4.7%,重点监控药品次均费用由2034元降至203元.结论 药师设置的重点监控药品审核规则,有助于临床合理用药管理、规范临床用药行为、促进合理用药.
Pre-prescription review in the key monitoring drugs
Objective To provide reference for pharmacists to participate in the key monitoring drugs and promote rational drug use.Methods Pharmacists analyzed the proportion of clinical consumption of key monitoring drugs in our hospital in February 2023 through visualization software Power BI,and commented on the prescriptions and medical orders of such drugs used from February to May 2023.The rules of key monitoring drugs in the"Yipu Pre-approved Prescription Rational Drug Use Software"used in our hospital were reviewed.The review rules were reset from basic rules and individualized rules,levels of irrational drug use were categorized,and the content of clues and hints was renewed.The combination of system review and manual review mode helped implement prescription preview for key monitoring drugs.Pharmacists evaluated the effect of prescription preview on promoting rational use of key monitoring drugs via analysis of failure rate of prescriptions(orders)from June to November 2023 and the change in the consumption amount of from February to November 2023.Results After the preview of key drug prescriptions,the unqualified prescriptions(doctor's orders)were decreased obviously,the consumption of dezocine,human blood albumin,rabeprazole for injection and amino acid injection were also decreased greatly,and the consumption proportion of key monitoring drugs out of all drugs decreased from 8.7%in February to 4.7%in November.The average cost was reduced from 2034 yuan to 203 yuan.Conclusion The review rules for key monitoring drugs set by pharmacists help manage clinical rational drug use and standardize drug use behavior.

key monitoring drugpre-prescription reviewcontrolrational drug use

王晓兰、朱珠、葛意、施爱明

展开 >

苏州大学附属第二医院,江苏 苏州 215000

重点监控药品 处方前置审核 管控 合理用药

苏州市科技发展计划(基础研究-医学应用基础研究指导性项目)

SKYD2023186

2024

中南药学
湖南省药学会

中南药学

CSTPCD
影响因子:0.736
ISSN:1672-2981
年,卷(期):2024.22(10)