目的:介绍福建省某三甲医院干预不合理处方的措施并进行分析,探讨提高处方质量的方法。方法:参照2010年2月10日卫生部印发的《医院处方点评管理规范(试行)》,结合本院近年来对不合理处方干预的资料与经验,深入分析各种不合理处方的干预措施及其综合应用的有效性。结果:处方自动监测系统(PASS)干预、审核药师审核退回、调配发药药师拦截、临床药师介入进行回顾性汇总分析、宣传教育行政干预等措施相结合是提高处方质量的有效方法。结论:不合理处方的干预要有统一可行的标准,医院通过各个环节紧密配合,临床药师介入处方干预的各个环节,配合行政干预,加强宣传教育,共同对不合理处方进行干预,有望在不合理处方干预方面取得成效。Objective:Intervening measures for improper prescription in a Three-A hospital of Fujian province was introduced and analyzed to discuss the approach improving the prescription quality.Methods: The data and experiences in our hospital in recent years were collected and analyzed.According to "Tentative Management Regulation of Prescription Comment in Hospital" issued by Ministry of Health,China on February 2010,various intervening measures for improper prescription were fully discussed.Results: Following measures could be integrated into application to improve prescription quality: intervene with prescription automatic screening system(PASS),withdraw after reviewed by a senior pharmacist,intercept by a dosage pharmacist,intervention through review analysis by clinical pharmacist,and administrative disturbance through health education.Conclusion: A uniform practicable standard is needed in the field of intervention for improper prescription.Cooperation between different sectors of a hospital,clinical pharmacist involvement in all phases of prescription intervention,assistant with administrative disturbance,and health education are expected to make progress in improving improper prescription
