摘要
目的:探讨我院事前审方系统的建立及开展对门诊合理用药的影响。方法:根据门诊药房实际需求,对原有的医院信息系统(HIS)相应模块进行修改后建立药房事前审方系统,将该系统用于缴费前审核门诊处方并实施相应的配套管理措施。比较事前审方系统运行前(2014年4-9月)、后(2015年4-9月)各相关评价指标的变化。结果:通过在HIS中按相关标准建立审核处方模板、制订审方系统工作流程及进行处方干预管理,我院实现了门诊处方在缴费前的处方合理性审核。与运行前比较,运行后口服类抗菌药物使用率、注射类抗菌药物使用率、不合理处方率分别由25.7%、31.5%、5.10%下降至16.5%、19.8%、1.98%;不合理处方干预成功率由24.3%上升至85.5%;错误处方不良反应发生率、医保费用超标率和门诊患者投诉率均显著降低(P<0.000 1)。结论:事前审方系统的建立可促进医院合理用药及服务水平的提升。
OBJECTIVE：To discuss the effects of construction and application of the prescription checking beforehand system on rational drug use in outpatient department.METHODS：According to the demands of outpatient pharmacy,related module of previous HIS was revised to develop prescription checking beforehand system;the system was used to check outpatient prescription beforehand and related supporting measures were implemented.The changes of related evaluation index were compared before（Apr.-Sept.in 2014）and after（Apr.-Sept.in 2015）the implementation of prescription checking beforehand system.RESULTS：The rationality of outpatient prescription could be checked before payment in our hospital through establishing prescription checking module,formulating workflow of prescription checking system and conducting prescription intervention management.Compared with before the implementation of the system,utilization ratio of oral antibiotics,utilization ratio of antibiotics for injection and the rate of irrational prescription decreased from 25.7%,31.5%,5.10% to 16.5%,19.8%,1.98%.Successful rate of irrational prescription intervention increased from 24.3% to 85.5%.The incidence of ADR induced by wrong prescription,the rate of overproof medical insurance cost and the rate of outpatient complaint decreased significantly（P〈0.000 1）.CONCLUSIONS：The construction of prescription checking beforehand system can promote rational drug use and hospital service.
出处
《中国药房》
CAS
北大核心
2016年第34期4823-4825,共3页
China Pharmacy
关键词
事前审方系统
门诊处方
处方干预
合理用药
Prescription checking beforehand system
Outpatient prescription
Prescription intervention
Rational drug use
