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.
Int J Environ Res Public Health. 2020 Feb 25;17(5):1473. doi: 10.3390/ijerph17051473.
Rational prescribing criteria have been well established in adult medicine for both research and quality improvement in the appropriate use of medicines. Paediatric rational prescribing has not been as widely investigated. The aims of this review were to identify and provide an overview of all paediatric rational prescribing tools that have been developed for use in paediatric settings. A systematic literature search was made of MEDLINE, Embase, CINAHL and IPA from their earliest records until July 2019 for all published paediatric rational prescribing tools. The characteristics of the tools were recorded including method of development, types of criteria, aspects of rational prescribing assessed, and intended practice setting. The search identified three paediatric rational prescribing tools: the POPI (Pediatrics: Omissions of Prescriptions and Inappropriate Prescriptions) tool, the modified POPI (UK) tool, and indicators of potentially inappropriate prescribing in children (PIPc). PIPc comprises explicit criteria, whereas POPI and the modified POPI (UK) use a mixed approach. PIPc is designed for use in primary care in the UK and Ireland, POPI is designed for use in all paediatric practice settings and is based on French practice standards, and the modified POPI (UK) is based on UK practice standards and is designed for use in all paediatric practice settings. This review describes three paediatric rational prescribing tools and details their characteristics. This will provide readers with information for the use of the tools in quality improvement or research and support further work in the field of paediatric rational prescribing.
成人医学领域已经确立了合理处方的标准，这些标准既用于研究，也用于改善药物的合理使用。儿科合理处方的研究则没有那么广泛。本综述的目的是确定并概述所有已开发用于儿科环境的儿科合理处方工具，并提供其概述。系统地检索了 MEDLINE、Embase、CINAHL 和 IPA 从最早记录到 2019 年 7 月的所有已发表的儿科合理处方工具。记录了工具的特征，包括开发方法、标准类型、合理处方评估的方面以及预期的实践环境。该检索确定了三种儿科合理处方工具：儿科遗漏处方和不适当处方工具（POPI）、改良 POPI（英国）工具和儿童潜在不适当处方指标（PIPc）。PIPc 包含明确的标准，而 POPI 和改良 POPI（英国）则采用混合方法。PIPc 专为英国和爱尔兰的初级保健而设计，POPI 专为所有儿科实践环境而设计，基于法国实践标准，改良 POPI（英国）则基于英国实践标准，专为所有儿科实践环境而设计。本综述描述了三种儿科合理处方工具，并详细说明了它们的特征。这将为读者提供在质量改进或研究中使用这些工具的信息，并支持儿科合理处方领域的进一步工作。
