6级电子病历系统的应用对骨科门诊合理用药的影响分析OA
Effects of Application of Level-6 Electronic Medical Record System on Rational Drug Use in Orthopaedic Outpatient Department
目的:探讨 6 级电子病历系统的应用对骨科门诊合理用药的影响.方法:回顾性选取于该院骨科门诊就诊并接受处方用药的患者资料,以 2024 年 6 月(实施 6 级电子病历系统时间)为节点分组,实施前(2024 年 3-5 月)为对照组,实施后(2024 年7-9月)为观察组.分析患者的处方数量、处方药物分布、合理用药情况.观察指标主要包括处方合格率、次均药费、患者满意度、提交系统及药师审核率.结果:观察组的处方合格率为 99.85％(33 315/33 365),高于对照组的 97.72％(36 405/37 254);患者满意度为 97.85％(32 648/33 365),高于对照组的 96.99％(36 133/37 254);提交系统审核率为 0.90％(300/33 365),低于对照组的1.80％(671/37 254);提交药师审核率为 0.23％(76/33 365),低于对照组的 1.43％(531/37 254),上述差异均有统计学意义(P<0.05).观察组、对照组处方中成药占比分别为37.00％(12 346/33 365)、37.20％(13 858/37 254),差异无统计学意义(P>0.05).观察组患者次均药费平均为 306.36 元,低于对照组的 356.60 元.结论:6 级电子病历系统通过建立骨科门诊合理用药闭环数据管理模式,及时拦截不合理处方,促进了骨科门诊处方合格率的提升,有效降低了医疗费用,同时保障了诊疗质量及患者满意度.
OBJECTIVE:To explore the effects of application of level-6 electronic medical record system on rational drug use in the Orthopedic Outpatient Department.METHODS:Clinical data of patients who received prescription medication in orthopedic outpatient department of our hospital were retrospectively selected.The patients were grouped according to the implementation time of level-6 electronic medical record system in Jun.2024,before the implementation(from Mar.to May 2024)was selected as the control group,and after the implementation(from Jul.to Sept.2024)was selected as the observation group.The number of prescriptions,distribution of prescription drugs and rational use of drugs were analyzed.The main observation indicators included prescription compliance rate,average drug cost per patient,patient satisfaction rate,system submission rate and pharmacist review rate.RESULTS:The prescription compliance rate in the observation group was 99.85％(33 315/33 365),higher than 97.72％(36 405/37 254)in the control group;the patient satisfaction rate was 97.85％(32 648/33 365),higher than 96.99％(36 133/37 254)in the control group;the system submission rate was 0.90％(300/33 365),lower than 1.80％(671/37 254)in the control group;the rate of submission for pharmacist review was 0.23％(76/33 365),lower than 1.43％(531/37 254)in the control group,the differences were statistically significant(P<0.05).The proportion of Chinese patent medicine in the observational and control groups were respectively 37.00％(12 346/33 365)and 37.20％(13 858/37 254),with no statistically significant differences(P>0.05).The average drug cost per patient in the observation group was 306.36 RMB,which was lower than 356.60 RMB in the control group.CONCLUSIONS:The application of the level-6 electronic medical record system helps to form a closed-loop data management model for rational drug use in the Orthopedic Outpatient Department,timely intercepts irrational prescriptions,promotes the improvement of prescription compliance rate,effectively reduces medical expenses,and effectively guarantees the quality of diagnosis and treatment and patient satisfaction.
李茜;白晓冬;程晟;郭欣
首都医科大学附属北京友谊医院门诊部,北京 100050首都医科大学附属北京友谊医院骨科,北京 100050首都医科大学附属北京友谊医院药学部,北京 100050首都医科大学附属北京友谊医院门诊部,北京 100050
医药卫生
6级电子病历系统合理用药门诊处方医疗费用
Level-6 electronic medical record systemRational drug useOutpatient prescriptionsMedical expenses
《中国医院用药评价与分析》 2026 (3)
291-294,4
北京市医院管理中心北京市属医院科研培育计划项目(No.PG2024002)
评论