Stolar M H
Am J Hosp Pharm. 1978 Jul;35(7):809-11.
A model for conducting prospective review of antibiotic orders is proposed. Before the drug is dispensed, a screening procedure is set up in which the incoming antibiotic drug order and the patient's drug profile are reviewed against previously established criteria. Noncompliance with any of the criteria is followed up as soon as possible with the prescriber who must either justify the noncompliance or authorize the changes necessary to achieve compliance. The drug is then dispensed. A prospective antibiotic review program combined with selective retrospective audits would be effective in assuring rational antibiotic use.
提出了一种对抗生素医嘱进行前瞻性审查的模式。在配药前，建立一个筛查程序，根据先前制定的标准对收到的抗生素医嘱和患者的用药记录进行审查。一旦发现不符合任何标准，应尽快与开处方者跟进，开处方者必须对不符合情况作出解释，或授权进行必要的更改以达到合规。然后再进行配药。前瞻性抗生素审查计划与选择性回顾性审计相结合，将有效地确保抗生素的合理使用。
