药师借助合理用药软件开展门急诊处方前置审核的实践及效果

目的:探讨药师借助合理用药软件开展门急诊处方前置审核在合理用药中的作用.方法:借助合理用药软件收集2020年1-4月开展处方前置审核的门急诊处方,分析对不合理处方的干预效果;收集2019年9-12月的处方作为对照组(仅进行事后点评)、2020年1-4月的处方作为干预组(开展处方前置审核,并进行事后点评),比较干预前后不...

Practice and Effect of Outpatient and Emergency Prescription Pre-audit by Pharmacists with the Help of Rational Drug Use Software

OBJECTIVE:To explore the role of pharmacists in developing the outpatient and emergency prescription pre-audit with the help of rational drug use software.METHODS:With the help of rational drug use software,outpatient and emergency prescription pre-aduit was conducted during Jan.-Apr.2020;the intervention effects of irrational prescriptions were analyzed.The prescriptions from Sept.to Dec.in 2019 were included in the control group(only for post review),and the prescriptions from Jan.to Apr.in 2020 were included in the intervention group(pre-audit and post review);the unreasonable prescriptions were compared before and after the intervention.The prescriptions intercepted by the software system from Nov.to Dec.in 2019 were further selected as the interception control group,and the prescriptions intercepted from Jan.to Feb.in 2020 were selected as the interception intervention group;the interception situation of prescriptions before and after the intervention was compared,and the influence of pre-audit on physicians’prescription behavior was evaluated.In addition,108992 prescriptions in Apr.2020 were selected for post review using the traditional model(i.e.complete manual audit)and the information model(i.e.software-assisted manual audit)respectively;the effects of two models were compared.RESULTS:From Jan.to Apr.in 2020,a total of 2393 prescriptions were pre-audited by pharmacists,among which 1387 prescriptions were reasonable(57.96%)and 1006 prescriptions were unreasonable and intervened(42.04%).After pharmacist intervention,983 prescriptions were modified by doctors,and the success rate of intervention was 97.71%.Compared with control group,unreasonable rate of outpatient and emergency prescriptions,that of each type of prescriptions were all decreased significantly(P<0.001).Compared with interception control group(1402 pieces),the number of intercepted prescriptions(721 pieces)was significantly reduced in interception intervention group(P<0.001).Compared with traditional model,the number of prescriptions requiring manual post review andfalse positiveprescriptions were decreased significantly under information model,and the number of discovered unreasonable prescriptions were increased significantly(P<0.001).CONCLUSIONS:With the help of rational drug use software,prescription pre-audit by pharmacists can significantly improve reasonable rate of outpatient and emergency prescriptions.The work intensity of pharmacists in post review of prescriptions can be reduced and the accuracy of prescription review can be improved in the information mode.