Practice and Evaluation of Pre-prescription Review Mode

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.