我院门诊药房事前审方系统的建立与应用

发布时间：2019-03-30 22:02

【摘要】：目的:探讨我院事前审方系统的建立及开展对门诊合理用药的影响。方法:根据门诊药房实际需求,对原有的医院信息系统(HIS)相应模块进行修改后建立药房事前审方系统,将该系统用于缴费前审核门诊处方并实施相应的配套管理措施。比较事前审方系统运行前(2014年4-9月)、后(2015年4-9月)各相关评价指标的变化。结果:通过在HIS中按相关标准建立审核处方模板、制订审方系统工作流程及进行处方干预管理,我院实现了门诊处方在缴费前的处方合理性审核。与运行前比较,运行后口服类抗菌药物使用率、注射类抗菌药物使用率、不合理处方率分别由25.7%、31.5%、5.10%下降至16.5%、19.8%、1.98%;不合理处方干预成功率由24.3%上升至85.5%;错误处方不良反应发生率、医保费用超标率和门诊患者投诉率均显著降低(P0.000 1)。结论:事前审方系统的建立可促进医院合理用药及服务水平的提升。
[Abstract]:Objective: to explore the establishment of pre-trial system in our hospital and its influence on rational use of drugs in out-patient department. Methods: according to the actual demand of outpatient pharmacy, the corresponding module of the original hospital information system (HIS) was modified and the pre-trial system of pharmacy was established. The system was used to examine the outpatient prescriptions before payment and implement the corresponding supporting management measures. The changes of the evaluation indexes before the operation of the pre-trial system (April-September 2014) and after the operation (April-September 2015) were compared. Results: through establishing the audit prescription template according to the relevant standards in HIS, drawing up the workflow of the audit system and carrying on the prescription intervention management, our hospital realized the rational audit of the prescription before payment of the prescription in our hospital. Compared with pre-operation, the utilization rate of oral antibiotics and injection antibiotics decreased from 25.7%, 31.5%, 5.10% to 16.5%, 19.8% and 1.98% respectively after operation, and the irrational prescription rates decreased from 25.7%, 31.5%, 5.10% to 16.5%, 19.8% and 1.98%, respectively. The success rate of unreasonable prescription intervention increased from 24.3% to 85.5%, and the incidence of adverse reactions of wrong prescriptions, the excess rate of medical insurance costs and the rate of complaints of outpatients were significantly decreased (P0.000 1). Conclusion: the establishment of pre-trial system can promote the rational use of drugs and the improvement of service level in hospitals.
【作者单位】：安徽医科大学附属省立医院药剂科;
【分类号】：R952

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