基于循证证据的处方前置审核工作模式与运行效果

Mode and Effect of Evidence Based Pre-prescription Review

目的介绍某院处方前置审核模式,评价其门诊处方审核效果,为进一步提高合理用药提供参考。方法通过提取门诊处方前置审核系统自2019年5月全面上线以来至2019年8月的审核数据进行逐月回顾性分析,比较不同时间的不合理处方数量,研究不同模块的审核效果及其成因。结果2019年5—8月,门诊处方出现的给药途径、儿童用药、配伍浓度、体外配伍、禁忌证、妊娠用药、相互作用、成人用药、性别用药问题数总体呈下降趋势;处方合格率提高;超多日用量及剂量范围问题数总体呈增长趋势,8月份超多日用量问题发生数有所减少。结论处方前置审核对该院提高合理用药起到了促进作用,药师应当持续维护规则库,加强与临床医生的沟通,建立基于循证证据的处方前置审核工作模式。

Objective To introduce the pre-prescription review mode in a hospital,to evaluate the effect of the work,and to provide reference for rational drug use.Methods Data of pre-prescription review system from May 2019 to August 2019 were analyzed retrospectively to compare the amount of irrational prescriptions with different problems,and find out the causes.Results From May 2019 to August 2019,the amount of prescription problems in drug delivery route,pediatric drug use,drug concentration,drug compatibility,drug contraindications,pregnancy drug use,interaction,adult drug use,and drug use in restricted genders,of outpatient prescriptions showed a decreasing trend.The rate of qualified prescriptions increased.The number of problems in the over-day dosage and dosage range showed an overall trend of increase.Meanwhile the number of over-day dosage problems decreased in August.Conclusion Pre-prescription review has played a promoting role in improving rational drug use in the hospital.Pharmacists should continuously maintain the rule base,strengthen communication with doctors,and establish a working mode of pre-prescription review based on evidence.