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目的提高临床用药的合理性,降低不合理用药的比例。方法利用合理用药检测系统,通过对药品自定义规则的编制,设定不同等级的警示信息,在临床医师保存医嘱时进行实时审核,并提供正确的药品使用方法。结果该软件使用前后比较,门急诊处方的差错从2012年10月发生269次下降到2013年8月的12次,下降率为95.5%;门急诊抗菌药物处方不合格率从2013年1月的4.01%下降到2013年8月的1.51%;静脉药物配置中心的不合理医嘱从每月486件(2012年10月)下降到58件(2013年10月)。结论该软件系统能很好地提高门急诊处方质量,降低不合理医嘱,值得在医院内部推广。
Objective To improve the rationality of clinical medication and reduce the proportion of unreasonable medication. Methods By using a reasonable medication testing system, we set up different levels of warning information through the preparation of custom rules of medicines, conduct real-time audits when clinicians save their orders, and provide correct methods for using medicines. Results Before and after the software was used, the error rate of outpatient and emergency department prescriptions dropped from 269 in October 2012 to 12 in August 2013, with a decrease rate of 95.5%. The failure rate of outpatient and emergency department antibacterial drugs was lower than that in January 2013 4.01% to 1.51% in August 2013; and the number of unreasonable doctor orders for intravenous drug deployment centers dropped from 486 cases per month (October 2012) to 58 cases (October 2013). Conclusion The software system can improve the quality of emergency department prescriptions and reduce unreasonable medical orders, which is worth to be promoted in the hospital.