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我院门诊处方前置审核工作中质子泵抑制剂用药规则的精细化设置
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| 篇名： | 我院门诊处方前置审核工作中质子泵抑制剂用药规则的精细化设置 |
| TITLE： | |
| 摘要： | 目的：促进质子泵抑制剂的合理用药及处方前置审核工作的开展。方法：在我院“临床合理用药智能管理系统”的“医院自维护规则库”中，依据我院临床中质子泵抑制剂的实际应用情况，对质子泵抑制剂在不同适应证下的用药剂量、联用情况、用于儿童时的年龄及禁忌等级等进行精细化设置以促进处方前置审核工作的开展；统计精细化设置后2018年1－8月门诊处方中质子泵抑制剂处方的事后点评处方合格率、处方前置审核时药师干预问题处方成功率以及8个质子泵抑制剂中各审核项不合格处方率（审核类别包括“相互作用”“临床诊断与用药不符”“重复给药”“用法不适宜”等4项），评价精细化设置后的效果。结果：从2018年1月到2018年8月，质子泵抑制剂的事后点评处方合格率从81.94％逐渐升高至95.10％，处方前置审核时药师干预问题处方成功率从32.75％上升至91.01％，4项不合格处方率均逐月明显下降。结论：我院对质子泵抑制剂用药规则进行的精细化设置促进了门诊处方前置审核工作的有效开展及质子泵抑制剂的合理用药。 |
| ABSTRACT： | OBJECTIVE： To improve the proper use of proton pump inhibitors （PPIs） and develop prescription pre-review. METHODS： Among “Hospital Self-Maintenance Rule Base” of “Rational use of drug” in our hospital， according to the application of PPIs in our hospital， the dosage of PPIs under different indications， drug combination， age range and taboo level for children were refined to promote the prescription pre-review. After refinement， the qualified rate of PPIs prescription post-evaluation among outpatient prescriptions， successful rate of pharmacist intervention during pre-prescription review and unqualified prescription rate of each item for 8 PPIs （including “interaction” “clinical diagnosis does not conform to medication” “repeated administration” “inappropriate usage”） were analyzed statistically from Jan. to Aug. 2018. The effects of fined setting were evaluated. RESULTS： From Jan. 2018 to Aug. 2018， the qualified rate of PPIs prescription post-evaluation gradually increased from 81.94％ to 95.10％； successful rate of pharmacist intervention during pre-prescription review increased from 32.75％ to 91.01％； the rate of unqualified prescriptions for 4 items decreased significantly month by month. CONCLUSIONS： The fine setting of the rules for the use of proton pump inhibitors in our hospital has effectively carried out the pre-examination of outpatient prescriptions and promoted the rational use of PPIs. |
| 期刊： | 2019年第30卷第7期 |
| 作者： | 陈潞梅，廖丽娜，朱芳芳，李鑫，黄菲，邬蓉 |
| AUTHORS： | CHEN Lumei，LIAO Lina，ZHU Fangfang，LI Xin，HUANG Fei，WU Rong |
| 关键字： | 处方前置审核；临床合理用药智能管理系统；质子泵抑制剂；用药规则；精细化设置；合理用药 |
| KEYWORDS： | Prescription pre-review； Rational drug use intelligent management system； Proton pump inhibitors； Medication rule； Fine setting； Rational drug use |
| 阅读数： | 478 次 |
| 本月下载数： | 38 次 |
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