Phân tích đặc điểm can thiệp dược trong việc kê đơn thuốc ngoại trú tại Bệnh viện 199

Abstract

Objective: To identify the rate and types of problems with prescriptions that required pharmacist intervention and to evaluate prescribers’ acceptance of these interventions. Subject and method: A retrospective cross-sectional study on the routine interventions of outpatient prescriptions documented by pharmacists was conducted at 199 Hospital - Ministry of Public Security from January 1, 2022 until December 31, 2023. Data were collected for descriptive analysis, including acceptance of intervention by prescribers, classification of intervention problems, and drug classes. Result: A total number of 658 (1.1%) pharmacist interventions were proposed for 57,897 prescriptions ordered in study period. Of the total number of proposed interventions, 604 (91.8%) were accepted by prescribers. Acceptance was lowest in gastroenterology (74.2%) and otolaryngology (81.3%). The difference in acceptance between specialties was statistically significant (p<0.05). The largest proportion of interventions was no indication (43.5%), followed by indications inconsistent with the prescribed medication (15.2%) and high dose (13.5%). Cardiovascular and alimentary tract and metabolism drugs were the two groups that receive the highest intervention (26.7% and 22%, respectively). Conclusion: The role of clinical pharmacists is highly accepted by prescribers. Intervention activities should be promoted to increase rational drug use in patients.