Investigation and analysis of the medical prescription approval in PIVAS in China
- VernacularTitle:我国医疗机构PIVAS医嘱审核情况调研分析
- Author:
Jing ZHAO
1
;
Lulu SUN
2
;
Hongmei LYU
2
;
Jianzhong ZHANG
3
Author Information
1. Dept. of Pharmacy，Zhongshan Hospital，Fudan University，Shanghai 200032，China
2. Dept. of Pharmaceutical Administration Research，National Institute of Hospital Administration，National Health Commission，Beijing 100044，China
3. Dept. of Pharmacy，Shanghai Geriatric Medical Center，Shanghai 201104，China
- Publication Type:Journal Article
- Keywords:
pharmacy intravenous admixture service;
medical order auditing;
prescription review software
- From:
China Pharmacy
2024;35(19):2340-2344
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To know about the current status of medical order auditing in pharmacy intravenous admixture service （PIVAS） of medical institutions nationwide， further improve the management of medical orders in PIVAS， and reduce and eliminate the occurrence of intravenous medication administration errors. METHODS Through the questionnaire survey method， to address the problems and current situation of PIVAS medical order auditing in medical institutions nationwide， experts from each province （autonomous region， municipality directly under the central government） in the research group were responsible for organizing the PIVAS directors of relevant medical institutions in their provinces to fill in the questionnaires on medical order audit and inappropriate medical order interventions， and conduct a statistical analysis of the results. RESULTS A total of valid 751 responses were received to the PIVAS questionnaire on the review of medical prescriptions. Our PIVAS medical order audit is mainly carried out by a combination of manual and computer. The median number of medical orders were audited by PIVAS per day were 700.00-771.00； the median number of new medical orders were audited by PIVAS per day were 209.68-215.00； medical order auditing rates were 85.50%-92.44% averagely； the inappropriate doctor’s orders accounted for 1.82%-1.89% averagely； the intervention rates of inappropriate medical orders ranged 74.90%-79.41%， the success rates of intervention were 79.62%-87.28% averagely； the medication refund rates were 2.92%-3.08%. CONCLUSIONS Most of the PIVAS in China’s healthcare institutions use medical order review software to assist in the review of medical orders， and there are cases of individual PIVAS in which medical orders are not reviewed comprehensively and inappropriate orders are not intervened in， and the standards and processes of medical prescription review need to be improved. It is recommended to emphasize the pharmacist’s responsibility system， standardize the use of prescription review software； gradually expand the scope of medical order review， and adopt a multi-departmental collaborative approach so as to increase the success rate of intervention for inappropriate prescriptions and reduce the rate of PIVAS withdrawals.
