Operation Practice of Outpatient Prescriptions Audit before Payment in Our Hospital
10.6039/j.issn.1001-0408.2016.04.09
- VernacularTitle:我院门诊收费前审核处方的运行实践
- Author:
Xin WANG
;
Jian XU
;
Xi DING
;
Hua NING
- Publication Type:Journal Article
- Keywords:
Prescription audit;
Prescriptions review;
Irrational prescriptions;
Rational drug use
- From:
China Pharmacy
2016;(4):461-463
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To provide reference for prescriptions audit before payment in hospital pharmacy. METHODS:The management measures of prescriptions audit and intervention before payment in our hospital were introduced. 1 200 outpatient pre-scriptions within 1 year before and after management were subjected to a statistical analysis. The effects of prescriptions audit be-fore payment were evaluated through analyzing and comparing qualification rate of prescription and unqualified prescriptions. RE-SULTS:Our hospital adopted a series of measure to realize prescriptions audit and intervention before payment by clinical pharma-cists,such as using information audit system,formulating audit standard,educating pharmacists,establishing audit job system, prescriptions review and feedback system,setting up communication system,etc. Of the total audited 189 665 prescriptions, 14 581(7.69%)failed to audit and 606 prescriptions hadn’t been revised after 1 year management,with effective intervention rate of 95.84%. Compared with before management,the prescription qualification rate increased from 88.83% to 98.67% after manage-ment(P<0.01). The quantity of overdose,inconformity with medical insurance,overload and other conditions reduced to 0. CON-CLUSIONS:It is feasible for pharmacists to audit and intervent prescriptions before payment in hospital pharmacy to improve pre-scription qualification and promote rational drug use in the clinic.
