| 许岑,杨本军,宁丽娟.门诊处方前置审核系统中重复用药模块审查规则的优化实践[J].安徽医药,2023,27(12):2538-2541. |
| 门诊处方前置审核系统中重复用药模块审查规则的优化实践 |
| Optimization practice of review rules for repeated drug use module in outpatient prescription preaudit system |
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| DOI：10.3969/j.issn.1009-6469.2023.12.044 |
| 中文关键词: 药物疗法，计算机辅助 药物处方 处方不当 处方前置审核 审方药师 重复用药 合理用药 |
| 英文关键词: Drug therapy, computer-assisted Drug prescription Inappropriate prescribing Preprescription audit Prescrip. tion-auditing pharmacist Repeated medication Rational drug use |
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| 中文摘要: |
| 目的对前置审方系统中重复用药模块审查规则进行优化，以提高审方系统的精细化，促进临床合理用药。方法 2021年 6月 15日至 6月 30日通过对中国科学技术大学附属第一医院处方前置审核系统静默运行期间拦截到的重复用药医嘱进行人工审核，利用相关循证医学证据，并与临床医师沟通反馈，确定具有临床意义的重复用药规则保留拦截。结果该期间门急诊处方中，系统静默审核拦截到的西药处方中重复用药不合理使用问题共 1 692例，经人工重新审后，发现仅 526例软件审核是正确的，有 1 166例( 68.91%)重复用药问题为“假阳性”问题，属于符合临床诊疗指南或临床合理用药范围，药师予以取消审方系统拦截并降为 937例橙灯提醒( 55.38%)和 229例蓝灯提醒( 13.53%)。结论药师对处方审核软件基础规则库进行持续自主维护修订是提升门诊处方审核工作质量的有效方法。 |
| 英文摘要: |
| Objective To optimize the refinement of review rules of repeated drug use modules in the preprescription review systemto improve the refinement of the review system and promote rational drug use in the clinic.Methods By manually reviewing the re.peated drug orders intercepted during the silent operation of the preprescription review system from June 15 to June 30, 2021, and uti.lizing the relevant evidence-based medical evidence and communicating with clinicians to provide feedback, the clinically significantrepeated drug rules were determined to be retained for interception.Results In the outpatient and emergency prescriptions during thisperiod, the system silently audited and intercepted a total of 1 692 cases of irrational use of repeated medication in Western medicineprescriptions. After manual reauditing, it was found that only 526 cases of software audits were correct, and 1 166 cases (68.91%) of re.peated drug problems were "false-positive" issues, which belonged to the scope of clinical diagnosis and treatment guidelines or clini.cally rational drug use. The pharmacists cancelled the prevention of the prescription review system and reduced it to 937 orange-light reminders (55.38%) and 229 blue-light reminders (13.53%).Conclusion Continuous autonomous maintenance and revision of the pre.scription review software base rule base by pharmacists is an effective method to improve the quality of the outpatient prescription re.view process. |
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