我院合理用药监测系统建设成效分析
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篇名: 我院合理用药监测系统建设成效分析
TITLE:
摘要: 目的:探索合理用药监测系统的建设对提高医院合理用药水平的作用。方法:收集2014-2015年我院在合理用药监测系统的建设中包括药师工作站处方审核(在处方/医嘱收费前审核实现事前预警)、临床药学管理系统处方点评(实现处方/医嘱的事后点评)及药品不良反应/事件(ADR)报告信息平台建立(实现ADR的在线上报)3项工作相关数据,并对其进行分析,评价系统建设的成果。结果与结论:2年内,我院通过改进及完善各系统功能,药师工作站审核处方共3 417 329份,其中返回医师修改的处方共7 315份,处方的返修率由0.39%降至0.08%;临床药学管理系统2015年处方点评预判合格率由81.2%提高至90.4%;ADR监测工作中的有效上报例数从186例提高到267例,并涵盖全院各科室。我院开展的合理用药监测系统建设,显著提高了处方/医嘱开具的规范性、合理用药水平及ADR上报率,取得了预期成效。
ABSTRACT: OBJECTIVE: To explore the construction effect of rational drug use monitoring system on the improvement of clinical drug use in the hospital. METHODS: The data about the construction of rational drug use monitoring system were collected from our hospital, including pharmacist workstation prescription check (check before prescription/medical order charging to realize warning in advance),clinical pharmacy management system prescription comment (realize prescription/medical order comment afterwards) and adverse drug reaction/adverse drug event (ADR) reporting  information platform (realize online ADR reporting) during 2014-2015. The data was analyzed to evaluate the effectiveness of system construction. RESULTS & CONCLUSIONS: There were a total of 3 417 329 prescriptions audited by the pharmacist workstation within 2 years through improving system functions, including 7 315 prescriptions were returned to doctors to be modified, the percentage of which declined from 0.39% to 0.08%. The pass rate of prescription comment pre-judgment increased from 81.2% to 90.4% in 2015 by clinical pharmacy management system. The valid case number of ADR monitoring and reporting increased from 186 cases to 267 cases, involving all department of our hospital. The construction of rational drug use monitoring system in our hospital can improve the standardization of prescription/medical orders, the level of rational drug use and the case number of ADR, which has achieved the expected results.
期刊: 2016年第27卷第16期
作者: 高燕灵,钟秀娟,薛梅,熊璐琪
AUTHORS: GAO Yanling,ZHONG Xiujuan,XUE Mei,XIONG Luqi
关键字: 合理用药监测系统;药师工作站;处方审核;处方点评;药品不良反应/事件监测
KEYWORDS: Rational drug use monitoring system; Pharmacist workstation; Prescription check; Prescription comment; Adverse drug reaction/adverse drug event monitoring
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