我院门诊收费前审核处方的运行实践

发布时间：2018-07-15 07:31

【摘要】：目的:为医院药房实行药师收费前审核处方提供参考。方法:对我院实现收费前处方审核干预的相关管理措施进行介绍,并通过分析比较管理前后各1年抽取的各1 200张门诊处方的处方合格率及不合理处方情况,对收费前审核处方的管理效果进行评价。结果:我院通过应用信息化审核系统、制订处方审核标准、培养审核药师队伍、建立审核岗位制度、建立处方点评及问题处方反馈机制、建立沟通机制等措施实现了药师在收费前对处方进行审核和干预管理。管理后1年共审核处方189 665张,未通过审核的处方14 581张,占7.69%;干预后医师未修改处方606张,有效干预率为95.84%。与管理前比较,管理后处方合格率由88.83%上升到98.67%(P0.01),处方不合理情况中超剂量用药、不符合医保适应证、处方超量等情况减少为0。结论:医院药房实行药师在收费前对处方进行审核、干预,不仅切实可行,且可提高医院处方质量、促进临床合理用药。
[Abstract]:Objective: to provide reference for the prescription examination before pharmacists charge in hospital pharmacies. Methods: the related management measures of prescription audit and intervention before charging were introduced in our hospital, and the qualified rate and unreasonable prescriptions of 1 200 out-patient prescriptions each 1 year before and after management were analyzed and compared. Evaluate the management effect of audit prescription before charging. Results: through the application of information audit system, our hospital established the standard of prescription audit, trained the team of pharmacists, established the system of audit post, established the mechanism of prescription review and problem prescription feedback. The establishment of communication mechanism and other measures to achieve pharmacists in charge before the audit of prescriptions and intervention management. A total of 189,665 prescriptions were examined one year after management, 14 581 prescriptions were not approved, which accounted for 7.690.The effective intervention rate was 95.8484. Compared with before management, the qualified rate of prescription after management increased from 88.83% to 98.67% (P0.01). Conclusion: it is not only feasible but also can improve the quality of prescriptions and promote the rational use of drugs in clinical practice.
【作者单位】：北京大学肿瘤医院暨北京市肿瘤防治研究所药剂科/恶性肿瘤发病机制及转化研究教育部重点实验室;
【分类号】：R95

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