OBJECTIVE: To investigate the new pattern of medical order review in the ward

improve the quality of medical order review

and provide ongoing interventions to promote rational clinical application of drugs. METHODS:With the proportion of 10%-25%

6 422 medical orders for inpatients’ drug application were randomly selected from Jan.to Sept. 2018 in the Caotang Ward of one hospital. According to"Prescription management measures"and"Management standard of hospital prescription comment "

full-factor reviews on the written norms

dosages

medication courses

indications and drug interactions of inpatients’ medical orders were performed. RESULTS: Of the 6 422 medical orders

6 331 were rational medical orders

with the rational rate of 98. 58%. Irrational medical orders mainly included improper usage and dosage

inappropriate indications

inappropriate drug dosage form or indications

improper dosage forms or routes of administration

incompatibility or adverse interactions

and improper application of drugs without clinical diagnosis or incomplete clinical diagnosis and selection. The overall rate of rationality of medical orders in the ward was maintained at a high level through a long-term continuous review of inpatient medication orders. CONCLUSIONS: The review of inpatient medication orders in the ward is conducive to standardizing the rational application of medication and improving the safety

effectiveness and economy of drug therapy.