摘要
目的：探讨电子处方管理办法的实施对门诊处方质量的影响。方法：随机抽取未使用电子处方系统（2008年1~6月）的处方3000张和使用电子处方系统（2009年1~6月）的处方3000张，根据药物说明书、《处方管理办法》《处方点评实施规范（试行）》等分析处方书写是否规范、临床用药是否合理及抗菌药物使用情况。结果：未使用电子处方管理办法前，不规范处方率为22.27%，不合理用药率为11.20%，抗菌药物使用率为60.3%，实施电子处方管理办法后，不规范处方率为2.43%，不合理用药为1.26%，抗菌药物使用率为39.4%，使用电子处方前、后质量差异均有统计学意义（P〈0.01）。结论：医院门诊实施电子处方管理办法，可显著改善处方书写的规范性、临床合理用药情况等，对提高处方质量具有较大的临床意义。
Objective：Explore the effect of implementation of prescription management method of electrons on the quality of outpatient prescriptions in our hospital. Methods：A random sample without the use of electronic prescription system（2008 January to June） of the 3 000 prescriptions and the use of electronic prescription system（2009 January to June） of the 3 000 prescriptions,according to the drug instructions,＂prescription management method＂,＂prescription review implementation specification（ Trial）＂ and other statistical analysis was carried out, the main contents include：analysis whether the standard of prescription writing, clinical medication is reasonable and the use of antibacterial drugs. Results：Without the use of the measures for the administration of electronic prescription, non normative prescriptions accounted for 22. 27%,the rate of irrational drug use in 11. 20%,the usage rate of antibiotics was 60. 3%, after the implementation of the measures for the administration of electronic prescription,non normative prescriptions accounted for 2. 43%,the rate of irrational drug use was 1. 26%,anti bacteria drug utilization rate was 39. 4%,with a significant difference in the quality of the use of electronic prescriptions（P〈0. 01）. Conclusions：The prescription management method of implementing electronic hospital outpatient prescription writing, can significantly improve the normative, rational clinical use of drugs, improve the quality of prescription,has obvious clinical significance.
出处
《蚌埠医学院学报》
CAS
2015年第9期1241-1243,共3页
Journal of Bengbu Medical College
关键词
合理用药
电子处方
规范
质量
rational drug use
electronic prescription
standard
quality
