自主维护知识库在门诊处方前置审核中的应用
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摘要
目的分析自主维护知识库的建立与完善在门诊处方前置审核中的应用成效。方法介绍根据《医院处方点评管理规范(试行)》和我院处方点评经验,建立与完善的自主维护知识库在门诊处方前置审核中的应用,分析并评价知识库的建立与完善对我院2017年2月—2018年1月门诊处方审核及干预的影响。结果处方前置审核药师干预成功率和事后处方合格率呈上升趋势;而事中窗口药师流转单干预处方数和处方前置审核问题处方占比呈下降趋势。结论知识库的建立与完善可促进处方前置审核的顺利进行,提高处方质量,保障安全合理用药。
Objective To analyze the application effects of the establishment and improvement of independence maintenance knowledge base in outpatient prescription prechecking. Methods The application of the establishment and improvement of independence maintenance knowledge base which was established based on review of Regulations for Hospital Prescription Evaluation (Trial) and the experience of prescription comment in outpatient was introduced. Meanwhile,the data of outpatient prescription checking and intervention from February,2017 to January,2018 was collected from the hospital during the application of establishment and improvement of knowledge base to analyze and evaluate the effect of the knowledge base. Results The pharmacists intervention success rate of prescription prechecking and the prescription qualified rate appeared a upward trend. However,a downward trend presented in the number of circulation list intervention prescription by pharmacists at the front desk and the proportion of problem prescription in prescription prechecking. Conclusion The establishment and improvement of independence maintenance knowledge base can smoothly promote prescription prechecking,improve the quality of outpatient prescriptions,and ensure safe and rational drug use.
Objective To analyze the application effects of the establishment and improvement of independence maintenance knowledge base in outpatient prescription prechecking. Methods The application of the establishment and improvement of independence maintenance knowledge base which was established based on review of Regulations for Hospital Prescription Evaluation (Trial) and the experience of prescription comment in outpatient was introduced. Meanwhile,the data of outpatient prescription checking and intervention from February,2017 to January,2018 was collected from the hospital during the application of establishment and improvement of knowledge base to analyze and evaluate the effect of the knowledge base. Results The pharmacists intervention success rate of prescription prechecking and the prescription qualified rate appeared a upward trend. However,a downward trend presented in the number of circulation list intervention prescription by pharmacists at the front desk and the proportion of problem prescription in prescription prechecking. Conclusion The establishment and improvement of independence maintenance knowledge base can smoothly promote prescription prechecking,improve the quality of outpatient prescriptions,and ensure safe and rational drug use.
引文
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[8]杜广清,赵志刚,甄建存,等.新医改收入格局下药师价值与归属的探讨[J].中国医院,2013,17(4):67-69.
[2]林文强,林琦,张金,等.医院自主的门诊处方审核干预系统的建立[J].中国医院药学杂志,2016,36(11):943-946.
[3]岳峰,朱宏亮,裔照国,等.事前处方审核与事后处方点评改善药学服务质量对比研究[J].中国药业,2016,25(12):77-78.
[4]李一帆,封国生,陈慧,等.医药分开改革对门诊处方用药的影响分析[J].中国医院管理,2016,36(2):7-9.
[5]林平,陈宁,梁健华,等.某院培训门诊住院药师处方审核技能的实践[J].中南药学,2017,15(8):1174-1178.
[6]李鑫,廖丽娜,陈燕红,等.处方前置审核系统在门诊处方审核中的应用[J].实用药物与临床,2018,21(4):475-479.
[7]王敏华,王莉.门诊超说明书用药情况分析及管理对策[J].中国现代应用药学,2015,32(5):634-638.
[8]杜广清,赵志刚,甄建存,等.新医改收入格局下药师价值与归属的探讨[J].中国医院,2013,17(4):67-69.