Pharmaceutical Science and Technology

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Practice and Evaluation of Pre-prescription Review Mode

Received: Jan. 28, 2019    Accepted: Mar. 11, 2019    Published: May 11, 2019
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Abstract

OBJECTIVE: To increase awareness of pre-prescription review and promote the development of its mode. METHODS: The pre-prescription review and the traditional prescription review were compared from the process. The 1239 of irrational prescriptions in outpatient and emergency clinics from June 2016 to June 2017 were analyzed. RESULTS: Compared with the traditional prescription review, the pre-prescription review had the advantages of reducing the waiting time for medicine, decreasing the inappropriate prescription, simplifying the returned prescription processes, etc. However, there were still some problems, such as poor auditability of non-standard prescription, low audit efficiency at rush hour, false-negative and false-positive prescription, etc. Among the 1239 irrational prescriptions in our hospital, the main factors were incomplete clinical diagnosis, inappropriate use and dosage, no indication of disease, inappropriate dosage forms or routes of administration. CONCLUSION: The pre-prescription review can ensure rational use of drugs and safe medication in clinic.

DOI 10.11648/j.pst.20190301.11
Published in Pharmaceutical Science and Technology ( Volume 3, Issue 1, June 2019 )
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Pre-prescription Review, Traditional Prescription Review, Rational Use of Drugs, Irrational Prescription

References
[1] CHEN XB JX. Structuring of the hospital prescription review system. Chinese Journal of Hospital Administration. Vol. 28, No. 2, 2012, pp. 132-135.
[2] ZHU HY ZC, JIA W.. The effect of prescription review on the quality of continuous improvement of the prescription. Herald Medicine. Vol. 31, No. 4, 2012, pp. 544-546.
[3] LINDATK, JANETMC, MOLLASD. To error is human: building a safer health system [M]. WashingtonDC: NationalAcademyPress. 2000.
[4] LIAO Li-na, LI Xin, HUANG Fei, TAO Xia CW-s, WU rong. Role of the Pre-prescription Review System in Ensuring the Safety of Drug Use in Patients. Chinese Hospital Management. Vol. 38, No. 10, 2018, pp. 23-25.
[5] LEAPELL, LAIRDNM. Incidence of adverse events and negligence in hospitalized patients [J]. N Engl J Med. Vol. 324, No. 7, 1991, pp. 370-376.
[6] Bates DW, Cullen DJ, Laird N et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. Jama. Vol. 274, No. 1, 1995, pp. 29-34.
[7] Yue F ZH, Yi ZG, Chou ZH, Zhang Z, Ji HJ. Comparison of Pre-Prescription Audit and Post-Prescription Audit in Improving Pharmaceutical Care. China Pharmaceuticals. Vol. 25, No. 12, 2016, pp. 77-78.
[8] LIN Wen-qiang LQ, ZHANG Jin, LIU Mao-bo. Establishment of automatic auditing and intervention system for outpatient prescriptions in our hospital. China Journal of Hospital Pharmacy. Vol. 36, No. 11, 2016, pp. 943-946.
[9] LI Xin LL-n, CHEN Yan-hong, TAO Xia, CHEN Wan-sheng, WU Rong. Application of prescription pre-checking system in checking of outpatient prescriptiongs. Practical Pharmacy And Clinical Remedies. No. 4, 2018, pp. 475-479.
[10] DONG ZQ ZJ, LUO YM, ZHANG GL, YANG Y. Pareto Chart Analysis of Unreasonable Factors of Prescription in Outpatient and Emergency Departments of Our Hospital during 2013-2015. China Pharmacy. Vol. 28, No. 17, 2017, pp. 2340-2342.
[11] GAO Y CQ, XING XX, JIANG DC. Analysis of irrational prescriptions in neurological mergency department in a hospital using Pareto diagram. Practical Pharmacy And Clinical Remedies. Vol. 19, No. 07, 2016, pp. 898-900.
[12] LIANG JH LP, ZHANG W, CHEN N, ZHEN JC. Analysis of 1 223 irrational prescriptions in Beijing Jishuitan Hospital's outpatient. Clinical Medication Journal. Vol. 15, No. 03, 2017, pp. 36-40.
[13] ZHANG Dong-su ZM-m, YANG Mei, SU Ye, SHI Hong, KANG Yi, CAI Le, LI Meng, SI TU Wei, BAO Jiang-xia, ZHU Ying. Practice of outpatient prescription pre-intervention based on artificial intelligence. Clinical Medication Journal. Vol. 15, No. 12, 2017, pp. 45-48.
[14] GU ZS WW. Promoting Pre-Prescription Review to Improve Safe Medication. Hospital Management Forum. Vol. 30, No. 11, 2013, pp. 54-56.
[15] NING H WX, ZHAO J, ZHANG YH. The practice of prescriptions audit before payment by computer system. Journal of Pharmacutical Practice. Vol. 33, No. 02, 2015, pp. 176-178.
[16] XIE Yangfan ZH. Prescription Review under the New Model of Pharmaceutical Care. CHINESE MEDICINE MODERN DISTANCE EDICATION OF CHIAN. Vol. 16, No. 11, 2018, pp. 26-27.
[17] WANG X XJ, DING X, NING H. Operation Practice of Outpatient Prescriptions Audit before Payment in Our Hospital. China Pharmacy. Vol. 27, No. 04, 2016, pp. 461-463.
[18] LX G. An Application Analysis of Prescription Automatic Screening System for Drug Monitoring and Rational Use of Drug. China Licensed Pharmacist. Vol. 7, No. 07, 2010, pp. 24-27.
[19] TONG SH BY, GUO JJ, ZHU YL. Application of information-based prescription comment management system in "sunshine project". Herald of Medicine. Vol. 33, No. 07, 2014, pp. 979-981.
[20] ZHONG XJ LL, GAO YL, FU L, ZHANG JF. The Application of Rational Drug Use Monitoring System and Pharmacist Workstation in Prescriptions Checking. China Pharmacy. Vol. 25, No. 42, 2014, pp. 4010-4012.
[21] CHEN Y LL, HUANG J, FENG WY. Analysis of Pareto diagram on irrational prescription in our hospital. The Chinese Journal of Clinical Pharmacology. Vol. 31, No. 13, 2015, pp. 1325-1327.
[22] CHEN R GB, GONG YH, YU X, BAO JA. Application of Rational Drug Use Software System in the Drug Dispensing in Outpatient Department of Our Hospital. China Pharmacy. Vol. 27, No. 22, 2016, pp. 3091-3094.
[23] Feng L. Analysis of intervention on irrational prescriptions in outpatient pharmacy. Journal of Pharmaceutical Research. Vol. 35, No. 05, 2016, pp. 303-304.
[24] ZHU FF SY, LIAO LN, TAO X, CHEN WS, WU R. Application and Practice of Intelligent Management and Solution for Clinical Rational Drug Use in Our Hospital. China Pharmacy. Vol. 27, No. 25, 2016, pp. 3528-3531.
[25] LY L. Discussion on Difficult Points and Judgement Standard in Carrying out Hospital Prescription Review Management Specification (Trial). Evaluation and Analysis of Drug-Use in Hospitals of China. Vol. 16, No. 01, 2016, pp. 107-110.
[26] ZHAO HQ LP. Thoughts and Suggestions on Unreasonable Prescription Criteria for Prescription Comment. Chinese Journal of Pharmacovigilance. Vol 9., No. 06, 2012, pp. 367-369.
[27] LIU R LJ, DU FX, LING HH, ZHU SW, WANG SL. Common Mistake and Coping Strategies of Performance Management in Hospital Pharmacy. China Pharmacy. Vol. 26, No. 01, 2015, pp. 83-86.
[28] LIU Z YJ, TAO X, YAO JY, TAO X, CHEN WS. Analysis of Inpatient Medical Orders Review in Our Hospital in 2013. China Pharmacy. Vol. 26, No. 05, 2015, pp. 599-601.
[29] LV XF ZD, BIAN YX. Exploration of Carrying out Medication Order Review and Pharmaceutical Care System in Inpatient Pharmacy. China Pharmaceuticals. Vol. 25, No. 20, 2016, pp. 86-88.
[30] LI J CW, ZHANG LC, BIAN YF, WANG ZZ. Promotion of rational drug use through prescription evaluation and review by clinical pharmacists in outpatient department. Pharm Care Res. Vol. 15, No. 01, 2015, pp. 18-21.
[31] LIN WL CY. Analysis on the pre-Intervation of irrational prescription in outpatient department. China Journal of Hospital Pharmacy. Vol 32., No. 05, 2012, pp. 382-384.
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  • APA Style

    Zhaoshuai Ji, Weiwei Song, Xu Yan, Chao Ai. (2019). Practice and Evaluation of Pre-prescription Review Mode. Pharmaceutical Science and Technology, 3(1), 1-6. https://doi.org/10.11648/j.pst.20190301.11

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    ACS Style

    Zhaoshuai Ji; Weiwei Song; Xu Yan; Chao Ai. Practice and Evaluation of Pre-prescription Review Mode. Pharm. Sci. Technol. 2019, 3(1), 1-6. doi: 10.11648/j.pst.20190301.11

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    AMA Style

    Zhaoshuai Ji, Weiwei Song, Xu Yan, Chao Ai. Practice and Evaluation of Pre-prescription Review Mode. Pharm Sci Technol. 2019;3(1):1-6. doi: 10.11648/j.pst.20190301.11

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  • @article{10.11648/j.pst.20190301.11,
      author = {Zhaoshuai Ji and Weiwei Song and Xu Yan and Chao Ai},
      title = {Practice and Evaluation of Pre-prescription Review Mode},
      journal = {Pharmaceutical Science and Technology},
      volume = {3},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.pst.20190301.11},
      url = {https://doi.org/10.11648/j.pst.20190301.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.pst.20190301.11},
      abstract = {OBJECTIVE: To increase awareness of pre-prescription review and promote the development of its mode. METHODS: The pre-prescription review and the traditional prescription review were compared from the process. The 1239 of irrational prescriptions in outpatient and emergency clinics from June 2016 to June 2017 were analyzed. RESULTS: Compared with the traditional prescription review, the pre-prescription review had the advantages of reducing the waiting time for medicine, decreasing the inappropriate prescription, simplifying the returned prescription processes, etc. However, there were still some problems, such as poor auditability of non-standard prescription, low audit efficiency at rush hour, false-negative and false-positive prescription, etc. Among the 1239 irrational prescriptions in our hospital, the main factors were incomplete clinical diagnosis, inappropriate use and dosage, no indication of disease, inappropriate dosage forms or routes of administration. CONCLUSION: The pre-prescription review can ensure rational use of drugs and safe medication in clinic.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Practice and Evaluation of Pre-prescription Review Mode
    AU  - Zhaoshuai Ji
    AU  - Weiwei Song
    AU  - Xu Yan
    AU  - Chao Ai
    Y1  - 2019/05/11
    PY  - 2019
    N1  - https://doi.org/10.11648/j.pst.20190301.11
    DO  - 10.11648/j.pst.20190301.11
    T2  - Pharmaceutical Science and Technology
    JF  - Pharmaceutical Science and Technology
    JO  - Pharmaceutical Science and Technology
    SP  - 1
    EP  - 6
    PB  - Science Publishing Group
    SN  - 2640-4540
    UR  - https://doi.org/10.11648/j.pst.20190301.11
    AB  - OBJECTIVE: To increase awareness of pre-prescription review and promote the development of its mode. METHODS: The pre-prescription review and the traditional prescription review were compared from the process. The 1239 of irrational prescriptions in outpatient and emergency clinics from June 2016 to June 2017 were analyzed. RESULTS: Compared with the traditional prescription review, the pre-prescription review had the advantages of reducing the waiting time for medicine, decreasing the inappropriate prescription, simplifying the returned prescription processes, etc. However, there were still some problems, such as poor auditability of non-standard prescription, low audit efficiency at rush hour, false-negative and false-positive prescription, etc. Among the 1239 irrational prescriptions in our hospital, the main factors were incomplete clinical diagnosis, inappropriate use and dosage, no indication of disease, inappropriate dosage forms or routes of administration. CONCLUSION: The pre-prescription review can ensure rational use of drugs and safe medication in clinic.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • Department of Pharmacy, Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University, Tsinghua University Clinical Medical College, Beijing, China

  • Department of Pharmacy, Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University, Tsinghua University Clinical Medical College, Beijing, China

  • Department of Pharmacy, Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University, Tsinghua University Clinical Medical College, Beijing, China

  • Department of Pharmacy, Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University, Tsinghua University Clinical Medical College, Beijing, China

  • Section