我院处方点评模式构建及其对本院门诊处方质量的影响分析.docVIP

精品论文 参考文献 我院处方点评模式构建及其对本院门诊处方质量的影响分析 王晓龙 刘恒戈 通讯作者 　　新疆阿克苏地区第一人民医院药剂科 新疆阿克苏 843000 　　【摘 要】目的：通过构建一套符合我院实际情况的处方点评模式，合理、高效地推进我院合理用药工作的开展，提高处方质量。方法：通过处方点评实施机构的组建，处方点评制度的确立以及处方点评标准的评定，构建符合我院实际的处方点评模式，并对该模式建立后的门诊处方进行点评，并对该模式构建完成前后的处方合格率进行统计和比较。结果：处方点评模式构建后，处方合格率显著提高（由2012年2月的72.6%逐步上升到了2012年12月的97.9%）；抗菌药使用率得到有效控制（由最初56.0%的处方率最终下降至34.6%）；在静脉滴注给药方式方面也取得了明显成效，（静脉滴注处方率由38.5%逐步下降到了25.5%）结论：处方点评制度的构建和完善，能够有效提升我院门诊处方质量，促进合理用药。 　　【关键词】处方点评；合理用药；处方质量；促进作用 　　【中图分类号】R195 【文献标识码】B 【文章编号】1674-8999（2015）8-0471-02 　　The Construction of Our Hospitalrsquo;s Comments Prescription Patterns and Analysis Itsrsquo; Influence on the Quality of Outpatient Prescription 　　【Abstract】Objective：By constructing a model of prescription reviews that consistent with the actual situation of our hospital, rationally and efficiently promote rational use of drugs in our hospital work and improve the quality of prescribing. Methods：Through by implementing agencies of prescription comment, establishing the prescription comment system, assessment the standard of prescription comment, to construct a model of prescription comment in line with our hospital, review the outpatient prescriptions, statistic and compare the prescriptionsrsquo; pass rate after the model was established. Results：With the prescription comment modelrsquo; establish, the pass rate of prescription improved significantly (From February 2012rsquo; 72.6% gradually rises to 97.9% of December 2012). Antibiotic usage has been effectively controlled (Eventually dropped from the initial prescriptions rate of 56.0% to 34.6%). In the administration of intravenous has also achieved significantly results (Intravenous prescription rate gradually declined 38.5% to 25.5%).Conclusions：Build and improve the prescription review system, could effectively improve the quality of our hospital outpatient prescriptions and promote the rational drug use. 　　【Key words】Prescription Comments; Rational Drug Use; Prescriptions; Promotion 　　合理用药不仅是保障医疗质量，提升药