Influence of Prescription-checking Pharmacist's Continuous Revision of Rational Drug Use Rules System on the Error Rate of Medical Order Review

OBJECTIVE To evaluate the current situation of using "prescription pharmacist combined with rational drug use software" man-machine cooperation medical order audit mode in medical order audit in the pharmaceutical department of The First Affiliated Hospital of Zhejiang University School of Medicine, to analyze the problems intuitively and to promote the rational use of drugs in clinic. METHODS Statistical analysis of the errors in medical order audit which intervened by prescription pharmacist based on rational drug use software in The First Affiliated Hospital of Zhejiang University school of Medicine from January 2020 to December 2020. RESULTS The main reasons for the 103 errors in the medical order audit included 34 cases(33.01%) of input errors, 15 cases(14.56%) of concentration errors, 12 cases(11.65%) of compatibility errors, 9 cases(8.74%) of repeated medical orders, 9 cases(8.74%) of dose errors, 9 cases(8.74%) of solvent selection errors, 6 cases(5.83%) of medication course errors, 4 cases(3.88%) of route of administration errors, 4 cases (3.88%) of infusion configuration capacity problems and 1 case(0.97%) of medication frequency error. After practise of man-machine cooperation medical order audit mode, the error rate of medical order audit decreased from the highest of 0.466 to 0.116 pieces per 1 0000 orders. CONCLUSION The establishment of man-machine cooperation medical order audit mode which is prescription pharmacist combined with rational drug use software can continuous improve the quality of medical order audit significantly and promote the development of rational drug use in hospital.