处方前置审核系统多维度优化策略与实践效果

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中图分类号R952 文献标志码A 文章编号 1001-0408（2025）14-1797-05

DOI 10.6039/j.issn.1001-0408.2025.14.19

ABSTRACTOBJECTIVETooptimizetheprescription pre-reviewsystem inour hospitalandevaluateitsaplicationeffects. METHODSAimingatthe problems imperfectrule baseand high false positiverate in theearlyoperationthesystem， optimizationmeasuresweretaken，includingimprovingthecontenttherulebase，adjustingtheinterceptionlevelandprompt mode，refiningtheworkingmodelprescriptionreviewpharmacists，and strengtheningclinicalcommunication.Aretrospective cohortstudywasconducted，withprescriptiondatafromJunetoDecember2023（beforeoptimization）asthecontrolgroupand JunetoDecember 2O24（afteroptimization）astheobservationgroup.Throughintergroupcomparativeanalysis，theactual efect optimizing the prescription pre-approvalsystem was evaluated.RESULTSTheprescriptionqualifiedrate increased from（ （82.51± 4.04）% before optimization to （90.98±1.55）% after optimization； the false positive rate decreased from （20.87±1.64）% before optimization to （7.41±2.04）% afteroptimization.The monthly range prescription qualified rate narrowed from 10.24% to （204号 4.11% ，and the coefficient variation decreased from 4.92% to 1.73% .The monthly range false positive rate slightly increased from 4.40% to 5.34% ，the coefficient variation rose from 8.32% to 26.18% .CONCLUSIONS Through multi-dimensional optimizationstheprescriptionpre-reviewsysteminourhospital，itsprescriptionreviewefficiencyhasbeensignificantly enhanced，thequality prescriptions has steadily improved，and the accuracy reviews has notably improved.

KEYWORDSprescriptionpre-review；rule base；optimization strategy；rationaldrug use；clinical pharmacist；prescription

随着医疗卫生体制改革的逐步深化，合理用药作为关键环节已成为医疗领域的核心议题之一。（剩余7932字）