The practice of prescriptions audit before payment by computer system
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摘要: 目的 应用处方审核系统实现药师在门诊处方收费和调剂之前对处方适宜性进行审核,优化调剂流程,促进合理用药,提高处方合格率。 方法 在北京大学肿瘤医院现有医院信息系统(hospital information system,HIS)基础上开发处方审核系统,实现门诊处方审核后交费调剂。 结果 应用处方审核系统实现门诊处方收费前审核,优化调剂流程,确保药师在处方审核环节发挥作用。 结论 实行门诊处方收费前审核有效降低了不合格处方的比例,提高了用药安全性及合理用药水平。药师应提升自身专业素质,做到处方审核专业、准确、高效。Abstract: Objective To achieve outpatient prescriptions audit before payment and dispensing, optimize the dispensing process,improve the ratio of qualified prescriptions and promote rational use of drugs. Methods Based on the Hospital Information System (HIS) of Peking University Cancer Hospital, a new computer system was developed for pharmacists to achieve prescriptions audit before payment and dispensing. Results Outpatient prescriptions audit was guaranteed by the new computer system, the dispensing process was optimized and the role of pharmacists in prescriptions audit was ensured. Conclusion The ratio of unqualified prescriptions was reduced effectively, and the safety and rationality of prescriptions was improved. Pharmacists should improve their professional knowledge to make the prescription audit more professional, accurate and efficient.
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[1] 卫生部.处方管理办法[S].中华人民共和国卫生部令第53号.2007:8. [2] 林万龙,陈 瑶.门诊不合理处方事前干预汇总分析[J].中国医院药学杂志,2012,32(5):382-384. [3] 高燕菁,赵春梅.我院门诊药房加强处方干预的措施及体会[J].中国药房,2012,23(1) :92-93.
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