关键词: font-size:medium, ">住院医嘱前置审核；医嘱漏审率；医嘱合理率；实践效果

Abstract: Objective：To explore the operational experience of pre-checking mode of inpatient medical orders in a tertiary comprehensive hospital， in order to provide reference for the development of pre-checking of inpatient medical orders in other hospitals. Methods：Through taking multidimensional measures such as constantly optimization of the information system，reviewing the qualification and ability of pharmacists，maintaining drug rules，the rate of manual check missed review and the qualified rate of medical orders before and after optimization were compared， and the practice effect of prescription pre-checking was evaluated. Results：Compared with the control group， missed review medical orders in the intervention group decreased， from 34.27% to 10.72% (P<0.01).The qualified rate of medical advice increased from 99.27% to 99.31% (P<0.01).The top 3 types of unreasonable medical orders were usage and dosage， incompatibility and administration route， respectively. The phenomenon of off-label use of usage and dosage exists， and it is difficult for pharmacists to intervene.Conclusion：The optimized pre-checking of inpatient orders can in our hospital has improved the proportion of manual review of prescriptions，reduced the rate of missed review of unreasonable inpatient medical orders， improved the pre-checking work and system of medical orders， and improved the level of rational drug use in the hospital， and the operation effect is significant.The phenomenon of off-label drug use in inpatient orders is relatively common， which needs to be further standardized.
  

Key words: font-size:medium, ">Pre-checking of inpatient medical orders； Missed review rate of medical orders； Qualified rate of medical orders； Practice effect