Application and Practice of Intelligent Management and Solution for Clinical Rational Drug Use in Our Hos-pital
10.6039/j.issn.1001-0408.2016.25.22
- VernacularTitle:我院《临床合理用药智能化管理解决方案》的应用与实践
- Author:
Fangfang ZHU
;
Yi SHEN
;
Lina LIAO
;
Xia TAO
;
Wansheng CHEN
;
Rong WU
- Publication Type:Journal Article
- Keywords:
Post-prescription review system;
Self-maintenance system for rational drug use knowledge base;
Pre-prescription review early warning system;
Yaozhidao instant messaging system;
Prescription review;
Prescription intervention
- From:
China Pharmacy
2016;27(25):3528-3531
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To improve the level of rational drug use,and to reduce the workload of clinical pharmacists. METH-ODS:Established“Intelligent Management and Solution for Clinical Rational Drug Use”of our hospital was introduced,including post-prescription review(all prescriptions review)system, self-maintenance system for rational drug use knowledge base,pre-pre-scription review (rational drug use real-time review) early warning system. The effects of intelligent system were evaluated. RE-SULTS & CONCLUSIONS:After the application of the system,the following aspects could be achieved,including“all prescrip-tions review”,“multi-prescriptions/longitudinal review”,system knowledge base real-time update and autonomous definition of re-view rules,effective communication and intervention between physicians and pharmacists before printing prescription by Yaozhidao instant messaging system. Through related trial evaluation,the proportion of false positive prescriptions decreased by 17.65% after 4 months of the application of the system;drug consultation prescriptions review average score of outpatient pharmacists increased from 81 to 94.85;the time of prescription review decreased by 4.72-5.46 times. Through mandatory interception of unqualified pre-scriptions,severe warning,timely prompt and pharmacists’intervention,the rate of unqualified prescriptions pre-reviewed by the system in respiration department decreased from 32% in Jan. 2015 and 21% in May to 4.62% in Dec. So,the application of the system promotes rational drug use in outpatient department,reduces the workload of pharmacists and ensures the safety of drug use comprehensively.
