摘要
目的:完成中药饮片处方前置审核系统的搭建与实施,促进儿科合理用药,提升药学服务质量。方法:介绍该院中药饮片处方前置审核系统的工作部署、搭建流程、功能实现与管理;对2019年1—6月(前置审核系统上线前)、2022年1—6月(前置审核系统上线后)的中药饮片处方合格率、各类不合理处方变化情况等进行对比分析,评价处方前置审核实施的效果。结果:该院中药饮片处方前置审核系统搭建成功,运行良好。处方前置审核系统上线后,中药饮片处方合格率大幅提升,不合理处方类别中的中药饮片剂量不合理、特殊煎服法标注不规范及重复用药情况有显著改善,与前置审核系统上线前比较,差异均有统计学意义(P<0.05);而单张处方大金额、大药味及贵细中药饮片处方开具限制等情况,与前置审核系统上线前差别不大。结论:中药饮片处方前置审核系统的搭建和实施可提高处方合理性,促进医院合理用药。
OBJECTIVE:To complete the establishment and implementation of traditional Chinese medicine decoction pieces prescription pre-review system,promote rational drug use in pediatrics,and improve the quality of pharmaceutical care.METHODS:The work deployment,establishment process,function realization and management of traditional Chinese medicine decoction pieces prescription pre-review system in the hospital were introduced.The qualified rate of traditional Chinese medicine decoction pieces prescription and changes of various irrational prescriptions from Jan.to Jun.2019(before the implementation of pre-review system)and from Jan.to Jun.2022(after the implementation of pre-review system)were compared and analyzed.The effect of prescription pre-review implementation was evaluated.RESULTS:The pre-review system of traditional Chinese medicine decoction pieces prescription was established successfully and ran well.Through the implementation of pre-review,the qualified rate of prescription was greatly improved,in the category of irrational prescription,the improper dosage of decoction pieces,the non-standard labeling of special decoction regimen and repeated drug use were significantly improved,and the differences were statistically significant compared with those before the implementation of pre-review system(P<0.05);while the restrictions on large amount of single prescription,large number of drugs of single prescription and expensive fine drug use were little different from those before the implementation of pre-review system.CONCLUSIONS:The establishment and implementation of pre-review system for traditional Chinese medicine decoction pieces prescription can improve the rationality of prescription and promote rational drug use in hospital.
作者
张艳菊
魏京海
杨燕
王彦青
谢月峰
史强
孙宏国
ZHANG Yanju;WEI Jinghai;YANG Yan;WANG Yanqing;XIE Yuefeng;SHI Qiang;SUN Hongguo(Dept.of Pharmacy,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing 100045,China;Dept.of Traditional Chinese Medicine,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing 100045,China;Dept.of Information Center,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing 100045,China)
出处
《中国医院用药评价与分析》
2023年第3期361-366,共6页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
国家中医药管理局全国中药特色技术传承人才培训项目(No.T20194828003)
北京中医管理局北京中医药薪火传承“3+3”金世元名老中医工作室北京儿童医院分站建设项目(京中医科字[2019]103号)。
关键词
儿科
中药饮片
处方前置审核
Pediatrics
Traditional Chinese medicine decoction pieces
Prescription pre-review
