麻醉药品处方的电子化在质量控制中的应用

Application of electronic prescriptions for narcotic drugs in quality control

目的探讨电子处方在麻醉药品处方管理中的意义,不断优化麻醉药品的管理。方法对北京协和医院麻醉科手术室2019年3月至2021年12月麻醉药品处方进行连续性抽查,比较麻醉药品电子处方正式上线使用前后麻醉药品处方不合格率的变化。结果电子处方上线前,麻醉药品处方不合格率为31.5%,上线后不合格率为8.0%[比值比(OR):0.188,95%置信区间(CI):0.164~0.215,P<0.001]。结论麻醉药品电子处方可能有助于降低人为错误的发生,在优化麻醉药品管理中有潜在意义。

Objective To investigate the significance of electronic prescriptions on the management of narcotic drugs,so as to constantly optimize the management of narcotic drugs.Methods Continuous random checks were conducted on the prescriptions of narcotic drugs in operating room of the department of anesthesiology of Peking Union Medical College Hospital from March 2019 to December 2021.The changes of the error rate of narcotic drugs prescriptions before and after the electronic prescriptions of narcotic drugs were officially put into use were compared.Results The error rate of narcotic drugs prescriptions before and after electronic prescriptions were 31.5%and 8.0%[odds ratio(OR):0.188,95%confidence interval(CI):0.164-0.215,P<0.001].ConclusionsElectronic prescriptions of narcotic drugs may help to reduce the occurrence of error from manual prescription and has potential significance in optimizing the management of narcotic drugs.