Corrick Fenella, Choonara Imti, Conroy Sharon, Sammons Helen
Division of Medical Sciences & Graduate Entry Medicine, University of Nottingham, Royal Derby Hospital Centre, Uttoxeter Road, Derby, DE22 3DT, UK.
North Devon District Hospital, Raleigh Park, Barnstaple, EX31 4JB, UK.
Healthcare (Basel). 2019 Feb 20;7(1):33. doi: 10.3390/healthcare7010033.
Rational prescribing tools can be used by individual prescribers, organisations, and researchers to evaluate the quality of prescribing for research and quality improvement purposes. A literature search showed that there is only one tool for evaluating rational prescribing for paediatric patients in hospital and outpatient settings. The Pediatrics: Omission of Prescriptions and Inappropriate Prescriptions (POPI) tool was developed in France and comprises 105 criteria. The aim of this study was to modify this tool to facilitate its use in paediatric practice in the United Kingdom (UK). POPI criteria were compared to relevant UK clinical guidelines from the National Institute for Health and Care Excellence, the Scottish Intercollegiate Guideline Network and the British National Formulary for Children. Where guidelines differed, criteria were modified to reflect UK guidance. If there were no relevant guidelines or directly contradictory guidelines, criteria were removed. Overall, no change was made to 49 criteria. There were 29 modified to concord with UK guidelines. Four criteria were reduced to two criteria due to being linked in single guidelines. Twenty-three criteria were omitted, due to the absence of relevant UK guidance or directly conflicting UK practice, including one entire clinical category (mosquitos). One category title was amended to parallel UK terminology. The modified POPI (UK) tool comprises of eighty criteria and is the first rational prescribing tool for the evaluation of prescribing for children in hospital and outpatient settings in the UK.
个体开处方者、组织和研究人员可以使用合理用药工具来评估用于研究和质量改进目的的处方质量。文献检索表明，在医院和门诊环境中，只有一种用于评估儿科患者合理用药的工具。儿科：处方遗漏与不当处方（POPI）工具是在法国开发的，包含105条标准。本研究的目的是对该工具进行修改，以方便其在英国的儿科实践中使用。将POPI标准与来自英国国家卫生与临床优化研究所、苏格兰校际指南网络和英国儿童国家处方集的相关英国临床指南进行了比较。当指南存在差异时，对标准进行修改以反映英国的指导意见。如果没有相关指南或存在直接矛盾的指南，则删除标准。总体而言，49条标准未作更改。有29条标准修改后与英国指南一致。由于在单一指南中相关联，4条标准合并为2条标准。由于缺乏相关英国指导意见或英国实践直接冲突，23条标准被省略，包括一个完整的临床类别（蚊子）。一个类别标题被修改为与英国术语一致。修改后的POPI（英国）工具包含80条标准，是英国首个用于评估医院和门诊环境中儿童处方的合理用药工具。
