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门诊处方前置审核在儿科合理用药中的应用 被引量:1

Application of Pre-review of Outpatient Prescriptions in Pediatric Rational Medication
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摘要 目的分析门诊药房处方前置审核在儿科的应用效果。方法调取我院2019年1~6月未实施处方前置审核系统进行处方点评的儿科处方12320张及2019年7~12月门诊实施该系统后进行处方点评的儿科处方16556张,比较实施处方前置审核系统前后处方合格情况及不合理用药情况。结果实施处方前置审核系统后,我院儿科门诊总不合理处方由上半年的230(1.87%)张,下降至下半年的105(0.63%)张,降幅为66.31%;其中不规范处方、用药不适宜处方和超常处方分别下降了17.72%、68.42%和89.19%,下半年不合理处方率低于上半年(P<0.05)。结论处方前置审核可有效提高审核效率,降低处方不合格率,转变药学服务模式,规范医师开药行为,保障患者用药安全。 Objective To analyze the application effect of pre-review of prescriptions in outpatient pharmacy in pediatrics.Methods From January to June 2019,12,320 pediatric prescriptions that were not reviewed by the prescription pre-review system in our hospital were transferred,and 16,556 pediatric prescriptions were reviewed by the outpatient department from July to December 2019 after the implementation of the system,compare the pre-review and unreasonable use of prescriptions before and after implementing the pre-prescription review system.Results After implementing the pre-prescription review system,the total unreasonable prescriptions in the pediatric outpatient department of our hospital decreased from 230(1.87%)in the first half of the year to 105(0.63%)in the second half of the year,a decrease of 66.31%;Unsuitable prescriptions and over-the-counter prescriptions decreased by 17.72%,68.42%and 89.19%,respectively.The unreasonable prescription rate in the second half of the year was lower than that in the first half of the year(P<0.05).Conclusion Pre-prescription review can effectively improve the review efficiency,reduce the rate of unqualified prescriptions,change the pharmacy service mode,standardize the behavior of doctors to prescribe medication,and ensure the safety of patients'medication.
作者 王浩然 斌兰 谢颖 WANG Hao-ran;BIN Lan;XIE Ying(Shijingshan Teaching Hospital of Capital Medical University/Department of Pharmacy,Beijing Shijingshan Hospital,Beijing 100043,China)
出处 《医学信息》 2020年第14期155-156,共2页 Journal of Medical Information
关键词 前置审核 儿科 合理用药 Pre-review Pediatrics Reasonable medication
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