Delicacy Management of Pediatric Intravenous Medication--Establishment and Implementation of Prescription Pre-Review System

Chen Tian; Huang Xiaoying; Hu Ling; Yang Bin; Kuang Di

doi:10.13407/j.cnki.jpp.1672-108X.2022.03.007

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Delicacy Management of Pediatric Intravenous Medication--Establishment and Implementation of Prescription Pre-Review System

更新时间：2022-11-03

- Delicacy Management of Pediatric Intravenous Medication--Establishment and Implementation of Prescription Pre-Review System
- Vol. 28, Issue 3, Pages: 23-26(2022)
- 作者机构：
  
  重庆医科大学附属儿童医院，国家儿童健康与疾病临床医学研究中心，儿童发育疾病研究教育部重点实验室，儿童发育重大疾病国家国际科技合作基地，儿科学重庆市重点实验室,重庆,400014
- 作者简介：
- 基金信息：
- DOI：10.13407/j.cnki.jpp.1672-108X.2022.03.007
  CLC：
- Published：2022，
  
  Published Online：10 March 2022，
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Chen Tian, Huang Xiaoying, Hu Ling, et al. Delicacy Management of Pediatric Intravenous Medication--Establishment and Implementation of Prescription Pre-Review System. [J]. 28(3):23-26(2022)
DOI：

Chen Tian, Huang Xiaoying, Hu Ling, et al. Delicacy Management of Pediatric Intravenous Medication--Establishment and Implementation of Prescription Pre-Review System. [J]. 28(3):23-26(2022) DOI： 10.13407/j.cnki.jpp.1672-108X.2022.03.007.

摘要

目的：探讨我院儿科静脉用药审方前置系统的方法，以降低医嘱不合格率，提高审方药师工作效率。方法：静脉用药审方药师通过制定儿科静脉用药审方指南，建立、修订及完善静脉用药审方软件用药规则，对建立后的审方前置系统进行综合评价。结果：实施前置审方和软件优化后，静脉用药的不合理医嘱从2016年的0.27%下降至2018年的0.09%，药师审方综合效率提高了54.81%，药品不良反应发生率总体下降了16.45%，临床对药学部的满意度得到提升。结论：前置审方实现了儿科静脉用药精细化管理，规范了临床医师的医嘱，提高了医嘱合格率，保障了儿童患者静脉用药安全

Abstract

Objective: To explore the method of prescription pre-review system for pediatric intravenous medication in our hospital

so as to reduce the unqualified rate of medical orders and improve the work efficiency of prescription review pharmacists. Methods: By formulating the pediatric intravenous medication prescription review guidelines

the pharmacists established

revised and improved the rules of intravenous medication in prescription pre-review software

and performed comprehensive evaluation on the prescription pre-review system for pediatric intravenous medication. Results: After the implementation and optimization of prescription pre-review system

the proportion of irrational medical orders for intravenous medication decreased from 0.27% in 2016 to 0.09% in 2018

the comprehensive efficiency of prescription review by pharmacists increased by 54.81%

and the overall incidence of adverse drug drug reactions decreased by 16.45%. Clinical satisfaction for the department of pharmacy was improved. Conclusion: Prescription pre-review system has achieved the delicacy management of pediatric intravenous medication

standardized the medical orders

improved the qualification rate of medical orders

and ensured the safety of intravenous medication for pediatrics

关键词

静脉用药审方前置儿童合理用药精细化管理

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