Hospital Pharmacy Service, University Hospital Complex of Vigo (CHUVI), Hospital Álvaro Cunqueiro, Estrada de Clara Campoamor N° 341, 36312, Vigo, Spain.
General Subdirectorate of Pharmaceuticals, Galician Health Service (SERGAS), Santiago, Spain.
Ther Innov Regul Sci. 2020 Jan;54(1):85-92. doi: 10.1007/s43441-019-00032-2. Epub 2020 Jan 6.
Although the electronic prescribing software is the same for all hospitals of a regional health service, each has its own drug database, which it is responsible for maintaining. The aim of this study was to develop a consensus to standardize the hospital drug database of the electronic prescribing software, and to apply this tool to the electronic prescribing system of an oncology outpatient clinic of a Spanish tertiary-level hospital. Additionally, we sought to analyze the impact of the implemented actions on the health care services provided.
This was a prospective study carried out over a period of 15 months by a group of pharmacists representing all Organizational Integrated Management Systems of a regional health service, and coordinated by the General Subdirectorate of Pharmaceuticals.
A total of 500 drugs and 500 active pharmaceutical ingredients included in the hospital drug database were standardized to implement the electronic prescribing system in the oncology outpatient clinic. The implementation of such standardization process yielded a 70% decrease in medication errors. In the satisfaction survey concerning the usefulness of the tall-man letters implemented in the electronic prescribing system, the interviewed doctors reported the highest levels of satisfaction.
The creation of consensus documents to standardize the hospital drug database served to unify the information available in the regional hospital pharmacy services of an autonomous community. In addition, the implementation of the electronic prescribing system in the oncology outpatient clinic of a tertiary-level hospital resulted in a decrease in the number of medication errors.
尽管电子处方软件在区域卫生服务的所有医院中都是相同的，但每个医院都有自己负责维护的药物数据库。本研究的目的是制定一个共识，以规范电子处方软件的医院药物数据库，并将该工具应用于西班牙三级医院肿瘤科门诊的电子处方系统。此外，我们还旨在分析所采取的措施对所提供的医疗服务的影响。
这是一项由代表区域卫生服务所有组织综合管理系统的一组药剂师在 15 个月的时间内进行的前瞻性研究，由药品总管理局协调。
共对 500 种药物和 500 种活性药物成分进行了标准化，以在肿瘤科门诊实施电子处方系统。实施这种标准化过程使药物错误减少了 70%。在对电子处方系统中实施的 tall-man 信函的有用性进行的满意度调查中，接受采访的医生报告了最高水平的满意度。
创建标准化医院药物数据库的共识文件有助于统一自治区区域医院药学服务中的信息。此外，在三级医院肿瘤科门诊实施电子处方系统导致药物错误数量减少。
