基于区域版前置审方系统提升药学服务的实践与探讨

Practice and Discussion of Improving Pharmaceutical Care Based on Regional Version of Pre-review Prescription System

目的介绍我院区域版前置审方中心的建设及审方系统在药学服务的实践经验,并评价区域版审方系统运行效果。方法通过抽取2021年8~11月单机版审核处方作为对照组(区域版前置审方上线前),2022年8~11月区域版审核处方作为观察组(区域版前置审方上线后),比较区域版审方系统运行前后医院处方合格率、各类型不合理处方干预情况占比、人工审方干预成功效率等进行比较分析。结果经过区域版前置审方系统运行后,处方合格率、人工审方干预成功率等方面均大幅度提升。其中处方合格率由94.5%提升至98.0%,前置审核不合理处方干预成功率由47.29%提升至73.41%,各类型不合格处方干预成功率有显著改善,且所得数据具有统计学意义。结论与单机版前置审方系统相比,区域版前置审方系统能够实现医联体内处方同质化审核,对于提高医联体的处方合格率和合理用药水平起到很好的作用,更能及时有效发现不合理用药的问题,有力地保障患者的用药安全,是当前医联体下医院的药学服务的不错模式,值得推广与应用。

OBJECTIVE To introduce the establishment of the regional version of pre-prescription review center and the practical experience of the pre-prescription review system in pharmaceutical service,and to evaluate the operation effect of the regional version of the pre-prescription review system.METHODS By taking the stand-alone review prescription from August to November 2021 as the control group(before the regional pre-review prescription was online)and the regional review prescription from August to November 2022 as the observation group(after the regional pre-review prescription was online),the qualified rate of hospital prescriptions,the proportion of various types of irrational prescription intervention,and the success efficiency of manual prescription review intervention were compared before and after the operation of the regional version of prescription review system.RESULTS After the operation of the regional version of pre-prescription review system,the qualified rate of prescriptions and the success rate of manual review intervention were greatly improved.Among them,the qualified rate of prescription increased from 94.5% to 98.0%,the success rate of pre-review unreasonable prescription intervention increased from 47.29% to 73.41%,The success rate of each type of unqualified prescription intervention was significantly improved,and the data obtained were statistically significant.CONCLUSION Compared with the single version of the pre-prescription review system,the regional version of the pre-prescription review system can achieve the homogeneity of prescription review within the medical alliance,play a good role in improving the prescription qualification rate and the level of rational drug use in the medical alliance,and can find the problem of irrational drug use in a timely and effective way,effectively ensure the drug safety of patients.It is a good model for the pharmaceutical service of the hospital under the medical alliance.It is worth popularizing and applying.