我院门诊电子处方点评工作的实践与体会  

Practice and Experience of Out-patient E-Prescription Evaluation in Our Hospital

作　　者：马海英[1] 高晓非[1] 刘亚非[1] 

机构地区：[1]中国医科大学附属第四医院药学部,沈阳市110032

出　　处：《中国药房》2011年第25期2388-2390,共3页China Pharmacy

摘　　要：目的:提高医院处方质量,促进临床合理用药。方法:随机抽取2009年1月-2010年12月每月1d中的100张处方,填写处方点评工作表并按用药品种数、抗菌药物使用率、注射剂使用率、基本药物使用率、处方金额等要求进行评价;且自2010年1月起每月抽查3d约2000张处方,以《医院处方点评管理规范(试行)》等为依据检查处方合格率及点评不合格处方。结果:抽取的2400张处方中,用药品种数为2.17种,抗菌药物使用率为29.50%,注射剂使用率为36.46%,基本药物使用率为86.09%,处方金额为188.55元;2010年较2009年用药品种数下降0.04%,抗菌药物使用率上升了3.5%,注射剂使用率下降了1.25%,基本药物使用率降低了3.28%,每张处方金额下降了48.99元。2010年抽取的约24000张处方合格率由1月的86.55%上升至12月的94.98%。结论:我院门诊处方用药品种数符合世界卫生组织制定的标准,基本药物使用率符合国家政策,处方合格率不断提高。处方点评工作应长期开展下去。OBJECTIVE： To improve the quality of hospital prescription,and to promote rational use of drugs in the clinic.METHODS： 100 pieces of prescription were randomly selected each month during Jan.2009-Dec.2010.Prescriptions evaluation forms were filled in and analyzed in respect of drug category,utilization ratio of antibacterial drugs,injection and essential drugs,prescription amount.About 2 000 pieces of prescription in 3 d were randomly selected each month in 2010.Qualified rate and unqualified rate of prescription were analyzed according to the Hospital Management Standard of Prescription Comment （trials）.RESULTS： Of 2 400 prescriptions,2.17 kinds of drugs were used and utilization ratio of antibacterials,injection and essential drugs were 29.50%,36.46% and 86.09%,respectively;prescription amount was 188.55 yuan;drug category decreased by 0.04%,utilization ratio of antibacterials increased by 3.5% and that of injections decreased by 1.25%;utilization ratio of essential drugs decreased by 3.28%;amount of each prescription decreased by 48.99 yuan.Qualified rate of about 24 000 prescriptions in 2010 increased from 86.55% in Jan.to 94.98% in Dec.CONCLUSIONS： The drug category of out-patient prescription in our hospital is up to the standards issued by WTO.The utilization ratio of essential drugs is in line with national policy and qualified rate of prescription increase continuously.Prescription evaluation should be our continuous pursuit.

关 键 词：门诊 电子处方 点评 合理用药 

分 类 号：R95[医药卫生—药学]