我院2015年住院处方点评及用药合理性抽查分析.docVIP

精品论文 参考文献 我院2015年住院处方点评及用药合理性抽查分析 （四川省八一康复中心药剂科 四川 成都 611135） 　　【摘要】目的：对我院2015年的住院处方及用药合理性进行抽查分析，促进临床合理用药。方法：随机抽取我院2015年1月～2015年12月住院处方28836张，对处方进行点评和用药情况进行合理性评价。结果：抽查的28836张处方中存在不合格处方824张，占2.86%；主要归纳为无适应证用药（18.93%）、给药用法或用量不适宜（24.88%）、联合用药不适宜（10.92%）、选药不合理（23.30%）、重复用药（12.74%）、用药配伍禁忌（9.22%）六大类。结论：我院住院处方用药合理性情况良好，但还存在一些问题，应加强住院处方的规范和合理用药的监管，促进临床合理用药。 　　【关键词】住院处方；点评；用药合理性 　　【中图分类号】R92 【文献标识码】A 【文章编号】2095-1752（2016）33-0359-02 　　A review on prescription medication and rational analysis of spot checks in our hospital in 2015 Gou Jiyu 　　Department of Pharmacy, Sichuan eighty-one Rehabilitation Center, Chengdu 611135,China 　　【Abstract】Objective To investigate the rationality of inpatient prescription drugs and spot checks of patients in our hospital in 2015 for promoting the rational use of drugs. Methods The 28 836 prescriptions were randomly selected in our hospital between January 2015 and December 2015 and prescription drug use were reviewed and reasonable evaluation. Results There were 824 prescriptions that were unqualified prescriptions in the sample of 28,836, accounting for 2.86%. The main questions were no indications of drug use (18.93%), inappropriate dosage or administration usage (24.88%), suitable for combination therapy (10.92%), irrational drug selection (23.30%), repeated administration (12.74%), drug incompatibility (9.22%) in six broad categories. Conclusion The rationality of prescription drugs in our hospital is in good condition, but there is still some problems, should strengthen regulation and supervision in hospital prescriptions of rational drug use and promote rational drug use. 　　【Key words】Hospital prescription; Reviews; Medication rationality 　　WHO在1985年提出合理用药的定义：要求患者接受的药物适合他们的临床需要、药物的剂量符合他们个体需要、疗程足够、药价对患者及其社区最为低廉[1]。合理用药是临床工作的目标之一，处方点评制度是对临床用药情况了解的有效手段，同时也是提高临床用药合理性的有效措施。为有效提高我院住院处方规范和用药合理性水平，保障患者用药的安全性及有效性，现针对我院住院处方情况展开回顾性调查与分析，对处方药物不合理应用现象进行及时的发现和纠正，促进临床合理用药，现报告如下。 　　1.资料与方法 　　1.1 一般资料 　　随机抽