合理用药软件系统在我院门诊处方调配中的应用

Application of Rational Drug Use Software System in the Drug Dispensing in Outpatient Department of Our Hospital

目的:探讨合理用药软件系统在我院门诊处方调配中的应用。方法:介绍合理用药软件系统(包括临床用药决策支持软件、发药软件、药品管理软件)在我院门诊处方开具(事前预警)、处方调配(事中干预)、处方点评(事后监管)中的应用情况。通过收集我院使用合理用药软件系统后门诊处方审查及干预等情况评价其应用效果。结果与结论:借助合理用药软件系统,实现了对处方用药的事前、事中及事后科学、方便、快捷的监控与管理;我院2015年1-5月共监测门诊处方721 507份,系统警示拦截的处方占0.17‰,系统审核提示药师审核的处方占23.25%,处方合格率均在99.96%以上;经药师干预后,各种不合理类型处方数均有明显下降(P<0.01)。建议药师在充分应用信息化系统的同时,在实践中积极探索以对其不断优化改进,从而促进医院合理用药水平的提高。

OBJECTIVE：To discuss the application of rational drug use software system in drug dispensing in outpatient department of our hospital. METHODS：The application of rational drug use software system（included clinical decision support software,drug dispensing software and drug management software）in prescribing（warning in advance）,dispensing（intervention in the event）and the prescription review（the post review）in outpatient department of our hospital were all introduced. Outpatient prescription checking and intervention were collected from our hospital after the application of rational drug use software system to evaluate the effect of the software system. RESULTS CONCLUSIONS：Rational drug use software system is adopted to realize scientific,convenient and express monitoring and management of prescription drug use in advance,in the course and afterwards. A total of 721 507 outpatient prescriptions were checked in our hospital from Jan. to May in 2015;0.17‰ prescriptions were intercepted by system warning;system pointed out and pharmacists had checked 23.25% prescriptions;the rate of qualified prescription was more than 99.96%. After pharmacists intervention,various types of irrational prescriptions decreased significantly（P〈0.01）.It is suggested that pharmacists should make full use of information system,at the same time,optimize and improve the system through active exploration so as to improve rational drug use.