Abstract
OBJECTIVE: To increase awareness of pre-prescription review and promote the development of its mode. METHODS: The pre-prescription review and the traditional prescription review were compared from the process. The 1239 of irrational prescriptions in outpatient and emergency clinics from June 2016 to June 2017 were analyzed. RESULTS: Compared with the traditional prescription review, the pre-prescription review had the advantages of reducing the waiting time for medicine, decreasing the inappropriate prescription, simplifying the returned prescription processes, etc. However, there were still some problems, such as poor auditability of non-standard prescription, low audit efficiency at rush hour, false-negative and false-positive prescription, etc. Among the 1239 irrational prescriptions in our hospital, the main factors were incomplete clinical diagnosis, inappropriate use and dosage, no indication of disease, inappropriate dosage forms or routes of administration. CONCLUSION: The pre-prescription review can ensure rational use of drugs and safe medication in clinic.
Highlights
With the promotion of deepening medical reform in Beijing in 2017, Pharmacy had changed from benefit department to cost department
[4] Clinical irrational use of drugs often brings inevitable pain or even death to patients. [5, 6] The pre-prescription review was a new model for hospital in recent years, which was more conducive to the safety of patients and the rational use of drugs compared with the traditional prescription review
A total of 1,239 irrational prescriptions were found from June 2016 to June 2017
Summary
With the promotion of deepening medical reform in Beijing in 2017, Pharmacy had changed from benefit department to cost department. Strengthened drug prescription review and prescription review to promote rational drug use. This prompted the transformation of the pharmaceutical sector from a drug supply guarantee department to a drug safety guarantee department. The direction for future pharmacy staff to work together will be to explore new mode of pharmaceutical service and promote the transformation of pharmacists. [5, 6] The pre-prescription review was a new model for hospital in recent years, which was more conducive to the safety of patients and the rational use of drugs compared with the traditional prescription review. The purpose of this paper was to summarize the structure, process and characteristics of the pre-prescription review, and to share the problems and experiences in the practice of the new model, so as to improve the understanding of the pre-prescription review
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