UC San Diego Health, Jacobs Medical Center, La Jolla, CA, USA.
UC San Diego Health, Hillcrest Medical Center, La Jolla, CA, USA.
Inquiry. 2024 Jan-Dec;61:469580241271219. doi: 10.1177/00469580241271219.
At our institution UC San Diego Health, formulary qualifiers such as indication expansions and restrictions based on provider specialty, patient location, or patient characteristics are input as free text into an online formulary platform. Inconsistency in formulary categories and their descriptions since the implementation of the electronic system have led to confusion and inconsistent formulary application amongst staff. We reviewed 880 unique medications with formulary qualifiers to standardize both categories and language. There were 537 items with inpatient restrictions (eg, restricted to service), 147 items with a restriction to outpatient use only, 94 items with a formulation restriction, 91 items with associated guidelines, and 11 items with formulary expansions. Formulary status descriptions were updated to be consistent and clear. A standardized and well-maintained formulary, via formulary reconciliation, can provide concise and informative insight to the formulary status for frontline healthcare staff.
在我们的机构——加州大学圣地亚哥分校健康中心，处方限定条件，如适应证扩展和基于提供者专业、患者位置或患者特征的限制，以自由文本的形式输入到在线处方平台中。自从电子系统实施以来，由于处方类别的不一致及其描述，导致了员工之间的混乱和不一致的处方应用。我们审查了 880 种具有处方限定条件的独特药物，以标准化类别和语言。有 537 种药物有住院限制（例如，仅限于服务），147 种药物仅限于门诊使用，94 种药物有制剂限制，91 种药物有相关指南，11 种药物有处方扩展。更新了处方状态描述，使其保持一致和清晰。通过处方核对，标准化且维护良好的处方可以为一线医疗保健人员提供简明、信息丰富的处方状态洞察。
