Evidence-based Operation Practice of Pre-audit System of Discharged Prescriptions in Our Hospital
- VernacularTitle:基于循证证据的我院出院带药处方前置审核系统的运行实践
- Author:
Na WEI
1
,
2
;
Zhaoyang WU
1
;
Lunzhuo CHEN
1
;
Bin ZHENG
1
;
Na LI
1
;
Xiaoping WU
1
;
Yannan WANG
1
;
Maobai LIU
1
Author Information
1. Dept. of Pharmacy，Fujian Medical University Union Hospital，Fuzhou 350001，China
2. Dept. of Pharmacy，the Third Affiliated Hospital of Fujian Medical University，Fuzhou 350108，China
- Publication Type:Journal Article
- Keywords:
Evidence-based evidence;
Discharged prescription;
Pre-audit system;
Practice;
Rational drug use
- From:
China Pharmacy
2020;31(15):1910-1915
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE：To provide reference for improving the rationality of discharged prescriptions. METHODS：According to the prescriptions that were often judged as forbidden or not recommended （such as irrational dosage and course of treatment ， off-label drug use ，drug interaction ，medication suitability ，dosage form ） in the pre-audit system of discharged prescriptions （hereinafter referred to as the “audit system ”）of Union Hospital Affiliated to Fujian Medical University （hereinafter referred to as the“our hospital ”），combined with actual case analysis ，the clinical pharmacists looked for evidence-based evidence and evaluate it，communicated with the clinician for feedback ，maintained the content of misjudgment in the intercepted prescription in real time，set up the relevant rules of audit in the audit system ，evaluated the effect and put forward suggestions to improve the scientificity and accuracy of the audit results of the discharged prescription. RESULTS & CONCLUSIONS ：For prescriptions that were judged to be forbidden or not recommended by the system ，such as the limited daily dose of Morphine hydrochloride tablet in patients with cancer pain ，the daily maximum dose of calcium sulfate D 3 after thyoidetomy ，hyper-indication use of megestrol acetate after chemotherapy for rectal cancer ，off-label usage of vitamin B 6 after postpartum delivery ，the combined use of clopidogrel bisulfate and oxcarbazepine after intracranial infection ，clinical contraindication of enteral nutrition powder after intestinal obstruction ，unsuitable dose of Dabigatran ester capsule after atrial fibrillation surgery and so on ，the clinical pharmacist looked for evidence-based evidence ，evaluated and communicated with the clinician . The relevant rules were updated to the audit system in real time. On the whole ，the audit system improves the work efficiency and the scientificity and accuracy of the audit results，but it is necessary to improve the professional knowledge level of the pharmacists ，the ability to find and use evidence-based evidence ，the accuracy of the audit system and the acceptance and recognition of the audit results by doctors ，so as to enhance the rationality of the discharged prescription ，reduce medication security risks.
