互联网医院处方前置审核和线上药房平台的应用与分析
来源:用户上传
作者:李彩云 陈刚
[摘要]目的u价与分析互联网医院处方前置审核和线上药房平台的运行情况。方法统计2018年6月至2019年12月东台市互联网医院处方中的药品种类及其构成，总结互联网医院运行期间出现的与药品或处方相关的问题。2019年1―5月运用品管圈手法对互联网医院的运行进行持续优化改进，将2018年6―12月作为改善前，2019年6―12月作为改善后。比较改善前、后互联网医院处方的前置性审核、干预情况。结果互联网医院处方中心脑血管、糖尿病等慢性疾病用药处方占比最高。经过质量管理工具优化改进后，不合理处方明显减少（P<0.05），处方成功干预率、处方合理率均明显提高（P<0.05）。结论线上药房平台的搭建方便了慢性病患者的长期用药需求，互联网医院处方前置审核有利于保障患者安全及合理用药。
[关键词]互联网医院;处方前置性审核;线上药房;处方合理率
[中图分类号]R95 [文献标识码]A [文章编号]2095-0616（2022）02-0175-04
Application and analysis of pre-prescription review and online pharmacy platform in Internet hospital
LI Caiyun1 CHEN Gang2
1. Department of Pharmacy，the Affiliated Suzhou Science and Technology Town Hospital of Nanjing Medical University，Jiangsu，Suzhou 215153，China;2. Department of Pharmacy，Dongtai Hospital Affiliated to Nantong University，Jiangsu，Dongtai 224200，China
[Abstract] Objective To evaluate and analyze the pre-prescription review and the operation of online pharmacy platforms in Internet hospital. Methods The varieties and composition of drugs in the prescriptions of internet hospital in Dongtai City from June 2018 to December 2019 were counted，and the problems related to drugs or prescriptions that occurred during the operation of the Internet hospital were summarized. From January to May 2019，Quality Control Circle techniques were used to continuously optimize and improve the operation of Internet hospital，with June to December 2018 as the pre-improvement period and June to December 2019 as the post-improvement period. The pre-prescription review and intervention in Internet hospital before and after improvement were compared. Results Prescriptions for chronic diseases such as cerebrovascular diseases and diabetes accounted for the highest proportion at Internet hospital prescription centers. After the optimization and improvement by quality management tools，irrational prescriptions were significantly reduced （P<0.05），and the intervention success rate of prescriptions and the reasonable rate of prescriptions were significantly improved （P<0.05）. Conclusion The establishment of online pharmacy platform facilitates the long-term medication needs of patients with chronic diseases，and the pre-prescription review in Internet hospitals is conducive to ensuring the safety of patients and rational use of medications.
[Key words] Internet hospital;Pre-prescription review;Online pharmacy;Reasonable rate of prescriptions
nlc202205061248
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