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处方点评模式的探讨与研究 被引量:10

Exploration and research on the model of prescription evaluation
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摘要 目的:探讨科学化、系统化和标准化处方点评模式。方法:通过建立完善的处方点评组织实施机构、点评制度、评价标准、点评综合评估体系等措施,评价处方点评模式的可行性。结果:与点评之前相比,点评之后的门诊处方抗菌药物使用率、基本药物使用率、注射剂使用率,统计学差异均具有显著性意义(P<0.05)。与2010年第3季度相比,2011年第3季度的全院药品收入占全院收入的百分比、住院病人使用抗菌药物强度,差异均具有显著性意义(P<0.05)。与点评之前相比,点评之后的围手术期使用抗菌药物、合理选择药物、术前0.5~2h给药的病例数,差异均具有非常显著性意义(P<0.01),术后用药时间合理的病例数差异有显著性意义(P<0.05)。结论:该处方点评模式具有可行性和可操作性。 Objective:To explore the scientific, systemic and standardized model of prescription evaluation. Methods: The feasibility of prescription evaluation model was estimated by setting up organization, regulation, criteria, and comprehensive sys- tem of prescription evaluation. Results: There were significant differences of usage rates of antibacterials in outpatient prescrip- tion,essential medicines and injections between before and after prescription evaluation(P〈0.05). The differences of drug in- come percentage in the whole hospital incomes and antibiotics use density of inpatients were significant in the third quarter of 2011 compared with that in the same time of 2010(P〈0.05). The differences of the case numbers of using antibacterials in perioperative period, drug delivery 0.5-2 h before operation,and rational choice of drugs were very significant after evaluation compared with those before evaluation(P〈0.01). The difference of the case numbers of rational administration time after oper- ation was significant between before and after evaluation (P〈0.05). Conclusion:This model is feasible and exercisable.
出处 《药学服务与研究》 CAS CSCD 2012年第2期97-99,共3页 Pharmaceutical Care and Research
关键词 处方点评 模式 合理用药 药学服务 prescription evaluation model rational use of drugs pharmaceutical care
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