合理用药监测系统存在的问题及对策探讨

发布时间：2018-05-18 23:43

本文选题：合理用药监测系统 + 审核　；参考：《中国药房》2015年22期

【摘要】：目的:分析合理用药监测系统(PASS 1.6.1.7)在处方审核中存在的问题并探讨对策。方法:采用回顾性方法,随机抽取我院2015年第一季度处方4 942张,对PASS审核结果与药师点评结果进行比较分析,并对软件审核出现的问题提出相应对策。结果与结论:PASS与药师审核的处方合格率分别为81.20%、97.40%;PASS将合理处方审为不合理处方的有929张(18.80%),主要涉及用法用量、西药与中成药开具在同一处方上、重复用药及慎用等情况;PASS将不合理处方审为合理处方的有122张(2.47%),主要涉及用法用量、诊断与用药不符等方面。发生原因主要是医院相关管理不完善及软件智能化程度不高等。建议医院加强对信息系统的数据维护管理及PASS开发方对软件规则进行相应改进等,以提高处方审核的准确率。
[Abstract]:Objective: to analyze the problems existing in the prescription audit of the rational drug use monitoring system pass 1.6.1.7 and to discuss the countermeasures. Methods: 4,942 prescriptions were randomly selected from our hospital in the first quarter of 2015 by retrospective method. The results of PASS audit were compared with those of pharmacists, and the corresponding countermeasures were put forward. Results and conclusion the eligible rates of prescriptions examined by pass and pharmacists were 81.20 and 97.40, respectively. 929 prescriptions were examined by pass as unreasonable prescriptions, mainly involving the amount of usage. Western medicines and proprietary Chinese medicines were prescribed on the same prescription. Repeat and careful use of drugs and other situations pass will be unreasonable prescriptions for the review of the rational prescription of 122 pieces of 2.47, mainly involved in the usage of drugs, diagnosis and other aspects of inconsistent with the use of drugs. The main causes are imperfect hospital management and low degree of software intelligence. It is suggested that the hospital should strengthen the data maintenance and management of the information system and the software rules should be improved by PASS developers in order to improve the accuracy of prescription audit.
【作者单位】：惠州市中心人民医院;
【分类号】：R95

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