三级甲等医院门诊处方点评及不合理处方分析.pdfVIP

三级甲等医院门诊处方点评及不合理处方分析 1* 2 3 4 # 苗秋丽 ，宋燕青 ，李艳娇 ，闫荟羽 ，张四喜 （吉林大学第一医院药剂科，长春 市 130021 ） 摘要 目的 了解我院门诊处方药物的使用情况，采取持续干预措施，提高合理 用药水平。 方法 整理我院2013 年1 月-12 月门诊处方点评评价表，对处方中 不合理用药情况进行分析和归类。结果 不合理用药处方5797 张，占抽查处方 总数的8.90%，抗菌药使用率为18.27%，注射剂使用率为47.85% ，基本药物使 用率为34.23%，平均每张处方用药品种数2.30 ，平均每张处方金额222.20 元。经 过一年的点评和干预措施后，不合理处方从13.36%下降到4.85% 。 结论 处方 点评是规范临床合理用药的重要手段之一，我院通过处方点评，总结用药经验并 及时反馈给临床医生，明显改善了我院门诊处方质量。 关键词 处方点评；合理用药；用药分析 Evaluation of Outpatient Prescriptions and Analysis on Unqualified Prescriptions in Grade A Class Three Hospital MIAO Qiu-li, SONG Yan-qing, LI Yan-jiao, Yan-Huiyu, ZHANG Si-xi (Dept. of Pharmacy, The First Hospital of Jilin University, Changchun 130021, China) ABSTRACT OBJECTIVE: To investigate the outpatient prescriptions in a hospital,take effective intervention to promote rational drug use. METHODS: The evaluation results of prescriptions from January to December in 2013 were summarized,then the cases of irrational drug use were analyzed and classified. RESULTS: 5797 pieces of unqualified prescriptions took up 8.90% of total sampling prescriptions. The rate of antimicrobial drug use was 18.27%,injectant was 47.85% and essential drugs was 34.23%.The average drug number in the prescription was 2.30.The average amount of per prescription was 222.20 RMB.The percentage of irrational prescriptions were decreased gradually from 13.36% to 4.85% after one-year prescription evaluation and outpatient education. CONCLUSION: Prescription review is one of the most important methods to standardize drug use.After continuous prescription evaluation,the prescription quality is significantly improved by finding the irrational drug use and summarizing medication experiences,then feedbacking to doctors. KEY WORDS