Effect of the Pre-review System for Prescriptions Combined with the Evaluation of Prescription Orders on the Rational Use of Traditional Chinese Medicine Injections
ZHAO Zengyuan
LIANG Chan
Abstract：Objective To explore the effect of the pre-prescription review system combined with prescription and medical order evaluation on the rational use of traditional Chinese medicine(TCM)injections.Methods A retrospective analysis was conducted on 748 TCM injection medical orders managed by conventional medication management from January 2023 to December 2023 and 1,629 TCM injection medical orders managed by the pre-prescription review system combined with prescription and medical order evaluation from January 2024 to December 2024 in the information system of Zhengzhou Jinshui District General Hospital.The usage of TCM injections,the rate of irrational use,the distribution of irrational use types,and the departmental distribution were compared between the two periods.Results The usage rate of TCM injections in 2024 was higher than that in 2023,the rate of irrational use of TCM injections was lower than that in 2023,and the rate of TCM injections with adverse interactions or contraindications was lower than that in 2023.However,the rate of inappropriate drug selection in 2024 was higher than that in 2023,and the differences were statistically significant(P<0.05).The departments with the highest proportion of irrational use of TCM injections in 2023 and 2024 were Geriatrics and Neurology 2,respectively,with proportions of 36.67%(11/30)and 21.05%(8/38).Conclusion The pre-prescription review system combined with prescription and medical order evaluation can reduce the rate of irrational use of TCM injections in clinical practice.
Keywords：Traditional Chinese medicine injectionsRational usePre-prescription review systemPrescription and medical order evaluation
Publication Date：2025-10-15
Online Publishing Date：2025-12-29(First online date of this platform, not the publication date of the document)
Pages：5( 17-19,23,后插2 )