Practice of Multidisciplinary Collaborative Prescription Review Mode in Key Monitored Drugs Management in Our Hospital
- VernacularTitle:我院多部门协作处方点评模式在重点监控药品管理中的实践
- Author:
Aizong SHEN
1
,
2
;
Shengyu ZHANG
2
;
Yongwu CHEN
2
;
Fangxue YAN
3
;
Rong SHAO
1
Author Information
1. School of International Pharmaceutical Business，China Pharmaceutical University，Nanjing 211198，China
2. Dept. of Pharmacy，the First Affiliated Hospital of University of Science and Technology of China/Anhui Provincial Hospital，Hefei 230001，China
3. Dispensary for Western Medicine，Anhui Province Linquan County Hospital of TCM，Anhui Linquan 236000，China
- Publication Type:Journal Article
- Keywords:
Multidisciplinary collaboration prescription review mode;
Key monitored drugs;
Drug management;
Practice
- From:
China Pharmacy
2020;31(13):1646-1649
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE：To provide referenc e for the construction of prescription review model in medical institution and key monitored drugs management. METHODS ：A multidisciplinary collaborative prescription review mode was established in the First Affiliated Hospital of University of Science and Technology of China （called“our hospital ”for short ）. The prescription management group （composed of the president in charge ，the director of pharmacy department ，the director of medical department and the person in charge of pharmacy ，medicine，nursing and administrative management ）was set up under the Pharmaceutical Affairs Management and Drug Treatment Committee ；and then prescription review expert group （be responsible for providing professional technical consultation and final evaluation of prescriptions ）and prescription review working group （be responsible for the initial evaluation of prescriptions ）were set up. According to the Drug Administration Law ，the Law of Licensed Doctors and the Law of Anti-unfair Competition Act and so on ，the Measures for the Supervision and Administration of Drug Purchase ，Sale and Use in our hospital was formulated. The multi-disciplinary collaborative prescription review procedure was established to intervene key monitored drugs prescriptions. The utilization rate of key monitored varieties and prescription reasonability in our hospital were investigated before （Jun. 2019）and after the intervention （Sept. 2019）by the mode. RESULTS ：The multidisciplinary collaborative prescription review mode was established sucessfully. The proportion of key monitored drugs in total drug sales amount decreased from 1.322％ before intervention to 0.735％ after intervention （P＝0.010）. The irrational rate of prescriptions decreased from 46.76％ before intervention to 15.70％ after intervention （P＝0.023）. The main types of irrational prescriptions were inappropriate usage and dosage （18.52％），inappropriate indications（12.50％），inappropriateroute of administration （9.26％）before intervention changed into inappropriate usage and dosage （15.70％）after intervention ； other irrational prescription types had been significantly improved. CONCLUSIONS ： The multidisciplinary collaborative prescription review model shows significant effect on key monitored drugs and reduce irrational use of this variety in the clinic significantly.
