Yu Chunlan, Xu Shanmei
Chinese Pharmacy, Zhejiang Quzhou Kaihua People's Hospital, Quzhou, China.
Chinese Pharmacy, Traditional Chinese Medical Hospital of Zhuji, Shaoxing, China.
Evid Based Complement Alternat Med. 2022 Jul 7;2022:5889284. doi: 10.1155/2022/5889284. eCollection 2022.
Medical disputes and patient satisfaction are related to inappropriate prescribing practices. We aim to investigate the clinical application of prescription reviews for traditional Chinese medicine (TCM).
TCM prescriptions performed prescription reviews in 372 patients from the year 2019 to 2020 were set as the observation group and those from the year 2017 to 2018 without prescription reviews as the control group ( = 341). According to the Criteria for Assessing Prescription Quality in Chinese Hospitals (CAPQCH) items, "Irrational" and "Rational" TCM prescriptions were determined mainly based on the following category: nonstandard prescriptions, inappropriate prescriptions, and hypernormal prescriptions. The incidence of medical disputes and the degree of patient satisfaction were compared between the two groups.
No difference was found in age and gender between the control group and the observation group. The number of irrational TCM prescriptions from the year 2017 to 2020 was 6, 8, 2, and 3, respectively, with the percentage of 3.725%, 4.480%, 1.201%, and 1.446%. The irrational rate in the observation group (1.344%) was significantly lower than that in the control group (4.106%). Specifically, a higher rate of nonstandard prescriptions was revealed in the control group as compared with the observation group. Moreover, a reduced incidence of medical disputes was revealed in the observation group relative to the control group accompanying with the increased degree of patient satisfaction.
Prescription reviews have high application value in the management of Chinese pharmacies, which can improve the rationality of prescriptions, increase patient satisfaction, and reduce medical disputes.
医疗纠纷和患者满意度与不恰当的处方开具行为有关。我们旨在调查中药处方点评的临床应用情况。
将2019年至2020年对372例患者的中药处方进行点评的设为观察组，将2017年至2018年未进行处方点评的设为对照组（n = 341）。根据《中国医院处方点评规范（试行）》的项目，主要依据以下类别确定中药处方“不合理”与“合理”：不规范处方、用药不适宜处方和超常处方。比较两组医疗纠纷发生率和患者满意度。
对照组和观察组在年龄和性别方面无差异。2017年至2020年不合理中药处方数量分别为6、8、2和3张，占比分别为3.725%、4.480%、1.201%和1.446%。观察组的不合理率（1.344%）显著低于对照组（4.106%）。具体而言，与观察组相比，对照组不规范处方率更高。此外，观察组相对于对照组医疗纠纷发生率降低，患者满意度提高。
处方点评在中药房管理中具有较高应用价值，可提高处方合理性，增加患者满意度，减少医疗纠纷。
