Analysis of pediatric pre-prescription review orders based on PCNE classification system
10.6039/j.issn.1001-0408.2025.03.16
- VernacularTitle:基于PCNE分类系统的儿科前置审核医嘱分析
- Author:
Anle SHEN
1
;
Peiqi WANG
;
Tao XU
;
Jia LUO
;
Xuexian WANG
;
Shunguo ZHANG
;
Zhiling LI
Author Information
1. 上海交通大学医学院附属上海儿童医学中心药剂科,上海 200127;上海交通大学医学院附属上海儿童医学中心海南医院药学部,海南三亚 572000
- Publication Type:Journal Article
- Keywords:
PCNE classification system;
drug-related problems;
orders;
pediatrics;
pre-prescription review
- From:
China Pharmacy
2025;36(3):351-355
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To provide reference for improving the pre-prescription review system and reducing the occurrence of medication error by analyzing the drug-related problems(DRPs)in the pre-prescription review orders of pediatric outpatient clinics using the Pharmaceutical Care Network Europe(PCNE)classification system.METHODS The data of pre-prescription review orders were retrospectively collected from outpatient department of Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine from July 2022 to June 2023;DRPs in the pre-prescription review orders were classified and summarized by using the PCNE classification system(version 9.1),and then analyzed in terms of types and causes of issues,and the acceptance of interventions.RESULTS A total of 66 017 DRPs orders were included,involving 41 165 patients.The proportion of DRPs orders in children aged ≤5 years old was the highest(58.25％),followed by children aged 6-12 years old(33.52％);the department with the highest proportion of DRPs was internal medicine of pediatrics department(71.41％);the department with the highest incidence of DRPs was thoracic surgery department(9.73％);top three drug categories of DRPs orders were systemic anti-infective drugs(25.26％),Chinese patent medicines(24.74％)and respiratory drugs(22.38％).Referring to PCNE classification system,the types of DRPs mainly focused on treatment safety(64.86％);the reasons of DRPs orders mainly focused on dose selection(82.09％),of which 41.26％were due to excessive drug dosage;92.13％of interventions could be accepted and fully executed by doctors.CONCLUSIONS DRPs orders identified by the pre-prescription review system can be effectively analyzed by using PCNE classification system.Pharmacists should focus on medication use in children aged＜5 years old,update and develop personalized prescription review rules timely,and meet the rational needs of clinical medication for children.
