我院门急诊合理用药国际指标调研及不合理处方分析  

Study on outpatient and emergency rational drug use in Hexian Memorial Hospital

作　　者：雷练仪 林雪颖 陈历雄 

机构地区：[1]广州市番禺区何贤纪念医院,511400

出　　处：《广州医药》2012年第3期51-54,共4页Guangzhou Medical Journal

基　　金：广州市番禺区科技计划项目(2010-Z-96-1)

摘　　要：目的对我院门急诊合理用药国际指标进行调研,对不合理处方进行分析,全面了解我院门急诊合理用药状况,从而有针对性地探讨提高合理用药的干预措施,提高合理用药水平。方法应用WHO/DAP/INRUD制定的《How to investigate drug use in facilities》,对我院2011年度2400张门急诊患者的处方指标和患者关怀指标进行调研,对其数据进行统计分析,并对不合理处方进行分析。结果平均用药品种数2.8种,通用名使用率100%,抗生素使用率39.8%,注射剂使用率12.6%,基本药物使用率26.6%;平均就诊时间9.05 min,平均取药时间50s,实际调配药物率100%,患者了解正确用药率85.0%。结论我院门诊用药基本合理,但基本药物使用率偏低,抗菌药物使用率偏高,需继续采取干预措施提高合理用药水平。Objective To investigate outpatient and emergency current drug use in Hexian Memorial Hospital, and the problems in drug use were analyzed, so as to adopting appropriate interventions and strategies. Methods 2400 outpatient and emergency prescriptions in our hospital were sampled randomly during the whole year of 2011. The data was analyzed by excel. Results The average number of drugs per encounters was 2. 8, the percentage of drugs prescribed by generic name was 100% , the percentage of encounters with an antibiotic prescribed was 39.8% , and with an injection prescribed was 12. 6% , the percentage of drugs prescribed from essential drugs list was 26. 6% ： average dispending time was 9. 05min, percentage of drugs actually dispensed was 100% , patients＇ knowledge of correct dosage was 85. 0%. Conclution the use of drug is basically rational in outpatient and emergency prescription, but the use of essential drug is lower, and the antibiotics is higher. We will take action to make appropriate interventions and strategies to improve the use of drugs.

关 键 词：合理用药 国际指标 门急诊处方 处方分析 

分 类 号：R95[医药卫生—药学]