摘要
目的 为更好转型建设中医医院,从中药饮片处方点评角度着手,分析总结了我院2020-2023年中药饮片处方点评结果,欲为转型建设过程中中药药事管理工作提供参考.方法 随机抽取2020-2023年四年每月的门诊中药饮片处方100张,药剂科进行初评.门诊办公室或医务科定期组织召集医保办、临床中医博士、临床中药师等科室相关专家组进行终评.对每月中药饮片处方不合格率进行统计,并分析门诊中药饮片不合格处方点评情况.结果 2020-2023年期间我院不合格处方率逐年降低,不合格处方中不规范处方、用药不适宜处方及不合理处方均逐年降低.结论 处方点评工作可以显著提升中药饮片处方的质量,保障中药饮片用药安全,减少医患矛盾,也给转型建设中医院提供了参考.
Objective To better transform and develop Traditional Chinese Medicine hospitals,this study analyzed and summarized the results of prescription reviews of Traditional Chinese Medicine decoction pieces in our hospital from 2020 to 2023,aiming to provide references for the management of pharmaceutical affairs of Traditional Chinese Medicine during the transformation process.Methods We randomly selected 100 outpatient prescriptions of Traditional Chinese Medicine decoction pieces from each month of 2020 to 2023 for initial evaluation by the Pharmacy Department.The Outpatient Office or Medical Affairs Department regularly organized final evaluations by convening relevant expert teams from the Medical Insurance Office,clinical Chinese medicine doctors,clinical pharmacists of Traditional Chinese Medicine,and other departments.The monthly unqualified rate of Traditional Chinese Medicine decoction prescriptions was calculated,and the evaluations of unqualified prescriptions were analyzed.Results From 2020 to 2023,the unqualified prescription rate in our hospital gradually decreased year by year.Among the unqualified prescriptions,the rates of non-standard prescriptions,irrational prescriptions,and inappropriate prescriptions also decreased annually.Conclusion Prescription review can significantly improve the quality of Traditional Chinese Medicine decoction prescriptions,ensure medication safety,reduce doctor-patient conflicts,and provide references for the transformation and development of Traditional Chinese Medicine hospitals.
作者
郭嫦娥
李凡
戚雯婧
李萌萌
程芳
王娜
王红伟
韩毅音
Guo Chang'e;Li Fan;Qi Wenjing;Li Mengmeng;Cheng Fang;Wang Na;Wang Hongwei;Han Yiyin(Beijing Fengtai District Hospital of Chinese Medicine(Nanyuan Hospital),Beijing 100076,China)
出处
《首都食品与医药》
2024年第23期98-103,共6页
Capital Food Medicine
关键词
中药饮片
处方点评
不合理处方
用药安全
转型建设
Traditional Chinese Medicine decoction pieces
Prescription review
Irrational prescription
Medication safety
Transformation and establishment