我院门诊处方点评制度改进后促进合理用药的效果分析  

Analysis of the Effect of Improved Outpatient Prescription Evaluation System of Our Hospital

作　　者：朱文玉[1] 

机构地区：[1]江苏南京市胸科医院药剂科,南京市210029

出　　处：《中国药房》2011年第13期1242-1243,共2页China Pharmacy

摘　　要：目的:评价我院门诊处方点评制度改进后效果,提高临床合理用药水平。方法:以《处方管理办法》、《医院处方点评管理规范(试行)》为依据,随机抽取南京市胸科医院2010年6-8月门诊处方14190张,逐一审核并填写不合理用药项目表和处方点评工作表,运用Excel软件处理数据,并对处方基本指标、不合理处方类型及比例统计、抗菌药物不合理应用3方面进行分析。结果:6-8月我院平均每张处方用药品种数分别为2.7、2.2、2.1种(改进前为3.1),不合理处方比例分别为56.74%、35.09%、24.22%(改进前为57.43%),不合理使用抗菌药物处方比例由上半年的31.46%逐渐下降到8月的10%以下。结论:处方点评制度改进初见成效,但不规范处方比例仍较高,抗菌药物的使用仍存在问题。OBJECTIVE ： To evaluate the effect of improved outpatient prescription evaluation system of our hospital and to improve the level of rational drug use in the clinic. METHODS： On Prescriptions Management and Management Standards of Hospital Prescription Evaluation, a total of 14 190 prescriptions were collected from our hospital during Jun.--Aug. of 2010 to fill in the table of irrational drug use and prescription evaluation tablet. Those prescriptions were analyzed in respect of basic prescription index, type of irrational prescription and its ratio, irrational use of antibacterial. RESULTS： Average type of drugs in each prescription of our hospital in Jun.--Aug. were 2.7, 2.2, 2.1 respectively （3.1 before improvement）. The proportions of irrational prescription were 56.74%, 35.09% and 24.22% （57.43% before improvement）. The proportions of prescriptions of irrational use of anti- bacterial decreased from 31.46% in the first half year to below 10% in August. CONCLUSION： The improvement of prescription evaluation system achieves initial success. However, irrational prescriptions still take up the great proportion and there still are problems in the utilization of antibacterial.

关 键 词：处方点评 制度改革 效果分析 合理用药 

分 类 号：R95[医药卫生—药学]