电子处方流转风险管理中的药师职责分析

Analysis of pharmacist’s responsibilities in the risk management of electronic prescription circulation

目的为从执业药师角度提升互联网医院电子处方流转的风险管理能力提供参考。方法采用文献回顾与比较分析法,阐述了电子处方流转的风险因素、电子处方流转过程中利益相关者职责和药师审方现况等,重点分析了互联网医院、零售药店和第三方药品平台中的药师职责,提出了电子处方流转风险管理中执业药师配备的制度安排。结果与结论通过构建互联网医院药物警戒体系、制定执业药师“双审方”操作规范和建立远程审方总执业药师制度等,可推进电子处方流转过程中执业药师的职责发挥,提升互联网医院电子处方流转的风险管理能力。

OBJECTIVE From the perspective of licensed pharmacist,provide reference for improving the risk management ability of electronic prescription circulation in the internet hospitals.METHODS The methods of literature review and comparative analysis were used to interpret the risk factor of electronic prescription circulation,stakeholders’responsibilities and the situation of prescription reviewed by pharmacists.The responsibilities of pharmacists in internet hospitals,brick and mortar stores and thirdparty drug platforms were analyzed specifically to propose the institutional arrangements for the licensed pharmacist’s provision in the risk management of electronic prescription circulation.RESULTS&CONCLUSIONS Through the establishment of internet hospital pharmacovigilance system,the preparation of double-reviewing specification for licensed pharmacists,and the remote reviewing of the chief licensed pharmacist system,the licensed pharmacists’responsibilities should be promoted to fulfill the risk management of electronic prescription circulation in the internet hospital.