今日药学

2021, v.31(07) 553-556+560

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处方前置审核闭环管理模式的建立与应用
Establishment and Application of Closed-loop Management Model for Prescription Pre-review

谢灵波;阙富昌;周本杰;何莹;王黎青;
XIE Lingbo;QUE Fuchang;ZHOU Benjie;HE Ying;WANG Liqing;Department of Pharmacy, The Seventh Affiliated Hospital of Sun Yat-Sen University;

摘要(Abstract):

目的构建处方前置审核闭环管理模式,确保患者合理用药。方法回顾性分析本院2019年5月~2020年3月处方前置审核相关评价指标的变化。结果经过优化合理用药系统审方规则库,加强药师医师沟通,制定相关流程制度等一系列措施,审方药师干预成功率、医师提交后自主返回修改处方率呈上升趋势,发药窗口拦截的不合理处方数呈下降趋势。结论处方前置审核闭环管理模式有利于处方前置审核顺利推行,有利于促进医师修改不合理处方,有利于促进合理用药,更精准保障患者用药安全,处方前置审核闭环管理模式可借鉴性高。
OBJECTIVE To establish a closed-loop model of prescription pre-review to ensure the rational use of medicines for patients. METHODS The retrospective analysis method was used to analyze the changes in the relevant evaluation indicators of the prescription pre-review from May 2019 to March 2020 in our hospital. RESULTS After optimizing the rational use rules library of medicines, formulating the relevant procedures and systems, and strengthening the communication between physicians and pharmacists, the proporation of doctors' active revising prescriptions and pharmacists' intervening prescriptions showed an upward trend while the number of irrational prescriptions blocked by dispensing pharmacists showed a downward trend. CONCLUSION The prescription pre-review closed-loop management model is conducive to the smooth development of the prescription pre-review and to motivate doctors to modify irrational prescriptions, which can promote rational drug use and ensure patients administration security. Therefore, the prescription pre-review closed-loop model in our hospital can be used for reference.

关键词(KeyWords): 处方前置审核;闭环管理;审方规则;医师药师沟通
prescription pre-review;closed-loop management;medication rules;physician pharmacist communication

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作者(Author): 谢灵波;阙富昌;周本杰;何莹;王黎青;
XIE Lingbo;QUE Fuchang;ZHOU Benjie;HE Ying;WANG Liqing;Department of Pharmacy, The Seventh Affiliated Hospital of Sun Yat-Sen University;

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