|HospitalManagementForum|Jan.2024Vol.41No.0156DrugManagement妇儿医院特色处方前置审核规则库优化及效果分析OptimizationandEffectAnalysisofPrescriptionPre-AuditRuleBaseinaWomenandChildren'sHospital□张明艳ZHANGMing-Yan董玲DONGLing何艳春HEYan-Chun雷燕枝LEIYan-Zhi黄薏霏HUANGYi-Fei叶菡YEHan摘要Abstract目的建立具有妇儿专科特色的处方前置审核规则库，进一步提升药学服务质量。方法通过每月对处方前置审核系统初审不合理处方进行不断整理反馈，总结系统审核中存在的问题，优化设置各模块审核规则，并加以运行实践。结果系统规则优化后，系统初审处方不合理率由14.25%下降至6.85%，医师返回修改率由32.09%上升至66.35%。结论处方前置审核工作的顺利实施，从处方环节减少用药错误，提高药学服务质量，促进临床安全合理用药。ObjectiveToestablishaprescriptionpre-auditrulebasewiththecharacteristicsofwomenandchildren,andfurtherimprovethequalityofpharmaceuticalservice.MethodsTheirrationalprescriptionsinthefirstreviewoftheprescriptionpre-auditsystemwerecontinuouslysortedoutandfedbackeverymonth,theproblemsexistingintheauditsystemweresummarized,theauditrulesofeachmodulewereoptimized,andtheoperationpracticewascarriedout.ResultsAftertheoptimizationofthesystemrules,theirrationalrateofprescriptionsintheinitialreviewofthesystemdecreasedfrom14.25%to6.85%,andtherateofreturningtodoctorstoreviseincreasedfrom32.09%to66.35%.ConclusionThesuccessfulimplementationofprescriptionpre-auditcanreducemedicationerrorsfromtheprescriptionlink,improvethequalityofpharmaceuticalservice,andpromoteclinicalsafeandrationaldruguse.关键词Keywords：药学服务pharmaceuticalservice；处方前置审核Prescriptionpre-auditsystem；超说明书用药Off-labelmedication作者单位：南宁市妇幼保健院NanningMaternityandChildHealthHospitalEmail:415756496@qq.com通讯作者：董玲基金项目：广西壮族自治区卫生健康委员会自筹经费科研课题，编号：Z20211280中图分类号：R197.5；文献标识码：ADOI:10.3969/j.issn.1671-9069.2024.01.014《医疗机构处方审核规范》规定药师是处方审核工作的第一责任人，应当对处方各项内容逐一审核，近年来医疗机构开始引入药品审核信息系统辅助药师进行处方审核，在处理海量药学...
