实施《处方管理办法》对某三级医院处方质量影响  

Effects of Prescription Administrative Policy on prescription quality of a tertiary hospital

作　　者：沈爱宗[1] 姜玲[1] 孙言才[1] 杜德才[1] 张圣雨[1] 刘琳琳[1] 史天陆[1] 张静[1] 

机构地区：[1]安徽医科大学附属省立医院,合肥230001

出　　处：《中华医院管理杂志》2009年第7期463-466,共4页Chinese Journal of Hospital Administration

摘　　要：目的了解《处方管理办法》（以下简称《办法》）的颁布对某三级甲等医院处方质量的影响。方法采用系统随机抽样的方法，抽取该院2007年400例门急诊处方和60名患者，按照《办法》要求，进行处方点评。结果该院处方平均合格率为37．2％。不合格处方主要表现为处方不完整、不规范和不合理等。《办法》实施后，部分指标有显著改善，处方平均合格率提高了12．2％（P＝0．004），抗菌药物使用百分率显著降低（P＝0．001），药品使用通用名的百分率显著提高（P＝0．000）。结论《办法》Objective To discover the effects of the Prescription Administrative Policy in force on the quality of the prescriptions in a tertiary hospital in 2007. Methods The prescriptions of 400 cases were sampled systematically for evaluation, and 60 patients were interviewed. Results The average eligibility rate of the prescriptions was but 37. 2% in this hospital, which was mainly plagued by incompleteness, nonstandard and irrationality found in prescriptions. Implementation of the Policy contributed to a significant improvement of some indicators. For example, the eligibility rate increased by 12. 2% （P=0. 004）, the percentage of the use of antimicrobial agents dropped significantly （P=0. 001）, and the percentage of generic names used rose significantly （P = 0. 000）. Conclusions The implementation of the Policy is highly positive for prescription quality.

关 键 词：处方 管理 点评制度 合格率 

分 类 号：R95[医药卫生—药学]