摘要
目的:了解新疆医科大学第一附属医院门诊处方不合理情况,促进临床合理用药,保障医疗安全。方法:以《处方管理办法》、《医院处方点评管理规范(试行)》等为依据,抽取我院2012年门诊处方共35 200张,采用专业的处方点评软件,对处方基本指标、不合理处方进行归类,分析不合理处方并进行干预。结果:处方平均用药种数为1.67种;抗菌药物使用率为13.90%;国家基本药物使用率为12.10%;不合理处方1 792张,占总调查处方数的5.09%,其中不规范处方1 388张,用药不适宜处方404张。结论:在建立处方点评制度、开展事前审方和采取干预措施后,我院门诊处方书写质量及用药情况基本合理,但仍存在一定问题,处方质量还需进一步改善和提高。
OBJECTIVE:To investigate the irrational outpatient prescriptions in the First Affiliated Hospital of Xinjiang Medical University so as to promote clinical rational use of drugs and ensure medical safety. METHODS: Based on ' The Administrative Rules on Prescriptions' and ' Hospital Prescription Comment Management Standard (for Trial Implementation) ' , 35 200 outpatient prescriptions in our hospital were sampled with basic indicators of the prescriptions and irrational prescriptions classified and the irrational prescriptions analyzed and intervened using professional prescription comment software. RESULTS: An average of 1.67 drugs were prescribed per prescription. The rate of using antibiotics was 13.90% and the rate of using national essential drugs was 12. 10%. 1 792 (5.09%) prescriptions were irrational, with 1 388 non-standard prescriptions vs. 404 inappropriate drug-use prescriptions. CONCLUSION: Due to the establishment of the prescription comment system, the implementation of prescription checking beforehand and the relevant intervention measures taken in our hospital, the writing quality of outpatient prescriptions and drug use in our hospital was rational on the whole; however, there are still some problems remain to be tackled and the quality control of prescriptions remained to be further improved.
出处
《中国医院用药评价与分析》
2013年第7期656-659,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
门诊
处方点评
分析
干预
Outpatient
Prescription comment
Analysis
Intervention