基于规则管理的处方前置系统的应用与探讨.

OBJECTIVE: To probe into the effect of prescription pre-review system in outpatient pharmacy, so as to improve the level of rational drug use. METHODS: The prescription pre-review was implemented by the hospital at the end of Mar. 2021. Based on the actual situation of drug use in the hospital, the pharmacy department collated the problems of the pre-review system and maintained the system rules. The rational rate of prescription and effectiveness of pharmacist intervention were set as indicators, the application effect of the pre-review system was evaluated by analyzing the results of prescription comments from Apr. 2021 ( the initial stage of pre-review) to Mar. 2022. RESULTS: After the system rules were maintained based on the actual situation of drug use in the hospital, the rationality rate of outpatient prescriptions in the hospital increased from 94. 08% (11 768 / 12 508) in the initial stage of pre-review to 98. 06% (21 385 / 21 807) in Mar. 2022, and the quality of prescriptions was significantly improved. The effective rate of pharmacists’ intervention increased from 40. 43% ( 112 / 277) to 80. 35% ( 278 / 346) at the initial stage of pre-review, and the clinicians ’ recognition and cooperation with pharmacists were significantly improved. CONCLUSIONS: Prescription pre-review system can improve the rationality of prescription, improve the clinicians’ recognition, and ensure the safety of medication. [ABSTRACT FROM AUTHOR]