中国药事
中國藥事
중국약사
CHINESE PHARMACEUTICAL AFFAIRS
2014年
11期
1269-1272
,共4页
武航海%边原%张远%杨勇
武航海%邊原%張遠%楊勇
무항해%변원%장원%양용
处方点评软件系统%PASS2.0 软件%门诊药房%合理用药管理%医疗机构药事管理
處方點評軟件繫統%PASS2.0 軟件%門診藥房%閤理用藥管理%醫療機構藥事管理
처방점평연건계통%PASS2.0 연건%문진약방%합리용약관리%의료궤구약사관리
prescription evaluation software system%PASS2.0 software%outpatient pharmacy%drug rational use management%drug management of medical institutions
目的：调查 PASS2.0软件在门诊药房处方点评中的成效；对软件存在的问题提出建议，并与信息科、软件公司进行良好沟通，对软件进行完善。方法从2014年1季度门诊处方中，每月随机抽取一天的所有门诊处方，利用点评软件进行点评、分析。结果17598张处方中，审方软件筛选出疑问处方1829张，占总处方数的10.39%。将警示处方分类后，存在配伍禁忌、可能出现严重相互作用的处方占问题处方的4.87%；对治疗有影响，但可通过用药交代避免的处方占问题处方的31.22%；治疗相对于影响，利大于弊的处方占问题处方的56.70%；软件点评出的无效问题处方占7.22%。结论该软件在处方点评中发挥了一定优势，为处方点评节约了人力物力。但系统软件尚需不断完善；药师仍需加大处方点评审核力度，而不能完全依赖于系统软件；还应继续加强对“警示处方”的管理，及时与临床沟通，进一步督促临床提升对“问题处方”的信息反馈率，及时纠正存在的问题，以提升患者用药的安全有效性。
目的：調查 PASS2.0軟件在門診藥房處方點評中的成效；對軟件存在的問題提齣建議，併與信息科、軟件公司進行良好溝通，對軟件進行完善。方法從2014年1季度門診處方中，每月隨機抽取一天的所有門診處方，利用點評軟件進行點評、分析。結果17598張處方中，審方軟件篩選齣疑問處方1829張，佔總處方數的10.39%。將警示處方分類後，存在配伍禁忌、可能齣現嚴重相互作用的處方佔問題處方的4.87%；對治療有影響，但可通過用藥交代避免的處方佔問題處方的31.22%；治療相對于影響，利大于弊的處方佔問題處方的56.70%；軟件點評齣的無效問題處方佔7.22%。結論該軟件在處方點評中髮揮瞭一定優勢，為處方點評節約瞭人力物力。但繫統軟件尚需不斷完善；藥師仍需加大處方點評審覈力度，而不能完全依賴于繫統軟件；還應繼續加彊對“警示處方”的管理，及時與臨床溝通，進一步督促臨床提升對“問題處方”的信息反饋率，及時糾正存在的問題，以提升患者用藥的安全有效性。
목적：조사 PASS2.0연건재문진약방처방점평중적성효；대연건존재적문제제출건의，병여신식과、연건공사진행량호구통，대연건진행완선。방법종2014년1계도문진처방중，매월수궤추취일천적소유문진처방，이용점평연건진행점평、분석。결과17598장처방중，심방연건사선출의문처방1829장，점총처방수적10.39%。장경시처방분류후，존재배오금기、가능출현엄중상호작용적처방점문제처방적4.87%；대치료유영향，단가통과용약교대피면적처방점문제처방적31.22%；치료상대우영향，리대우폐적처방점문제처방적56.70%；연건점평출적무효문제처방점7.22%。결론해연건재처방점평중발휘료일정우세，위처방점평절약료인력물력。단계통연건상수불단완선；약사잉수가대처방점평심핵력도，이불능완전의뢰우계통연건；환응계속가강대“경시처방”적관리，급시여림상구통，진일보독촉림상제승대“문제처방”적신식반궤솔，급시규정존재적문제，이제승환자용약적안전유효성。
Objective To examine the effectiveness of PASS2.0 in prescription review of outpatient pharmacy,and to discuss the software-related problems with the IT department and the software company to improve this software.Methods One day??s outpatient prescriptions were randomly collected once a month from the prescriptions of the first quarter of 2014,evaluated and analyzed using this software. Results Among the 17 598 prescriptions,1 829 prescriptions showed warning signs,taking up 10.39% of total prescriptions.Of these problematic prescriptions,the ones with potential contradictions and severe drug interactions accounted for 4.87%.The prescriptions which had adverse impact on treatment but could be avoided by patient education took up 31.22%.The prescriptions which had curing effect rather than adverse impact took up 56.70%.The prescriptions which had non-relative problems took up 7.22%. Conclusion One of the advantages of this software was economical. However, the system still needs improvement,and the pharmacist should be alert to the warning prescriptions instead of entirely relying on this system. In addition to the extra attention to the warning prescriptions, pharmacists should promptly communicate with the clinic doctors to correct the problems,so that the safety of drug use can be improved.
