我院门诊及住院处方审核中重复用药模块规则的精细化设置

Refined Setting of Rules for Repeated Medication Modules in the Prescription Review of Outpatient and Inpatient

目的:通过精细化设置处方审核规则,提高处方审核的有效性,促进临床合理用药。方法:总结门诊及住院处方审核系统的重复用药警示中存在的问题,对问题的合理性进行分析,并对不合理警示进行规则修改。结果:自2020年7月中旬精细化设置重复用药规则后,药师干预问题处方成功率显著提高,重复用药红灯警告百分率和门诊处方不合理率逐步下降。结论:我院对处方审核系统进行精细化规则设置有利于提高临床用药合理性,提高临床医生对处方审核的接受程度和药师的工作效率。

Objective:To improve the effectiveness and rationality of prescription review through refinded rules setting,and to promote the rational use of drugs in clinical.Methods:The problems of repeated medication warnings by the system were summarized,the rationality of the problems were analyzed,and the rules of unreasonable warnings were modified.Results:Since the establishment of refined rules in mid-July 2020,the success rate of pharmacist intervention in problem prescriptions was increased,the red light warning rate of repeated medications and the rate of unreasonable outpatient prescriptions was gradually decreased.Conclusion:The setting of rules for the prescription review system by pharmacists in prescription review center has improved the rationality of medication usage,has improved the acceptance of prescription review by clinicians and has increased the efficiency of pharmacists’work.