某院门急诊住院处方点评效果分析  

Effective Analysis on Prescription Comments in Emergency,Outpatient and Inpatient Departments of a Hospital

作　　者：曾斌[1] 冯浩[1] 刘凯南[1] 

机构地区：[1]广州中医药大学附属深圳市中医院药学部,广东深圳518033

出　　处：《中国药业》2012年第18期61-62,共2页China Pharmaceuticals

摘　　要：目的了解某院门急诊和住院处方用药点评效果,提高其合理用药水平。方法以《处方管理办法》和《医院处方点评管理规范(试行)》为依据,抽取2010年至2011年门急诊处方(6 000张)和住院病历(2 400份)的处方指标和患者关怀指标进行点评,采用Excel软件进行统计和分析。结果该院门急诊处方平均用药品种数为2.9和2.1,平均不合理处方比例由2010年的21.7%下降为2011年的8.5%,不合理用药住院病历由2010年的21.5%下降为2011年的13.9%,抗生素使用率由2010年的44.9%降至2011年的36.3%,通用名使用率达100.0%。结论医院Microsoft Excel处方点评工作可行,能有效干预不合理用药,提高合理用药水平。Objective To understand the effects of prescription comments in the emergency, outpatient and inpatient departments of a hospital to promote the level of rational drug use. Methods According to the Prescription Management Regulation and the Hospital Management Standard of Prescription Comments （trial implementation）,6 000 prescriptions in the emergency and the outpatient depart- ments and 2 400 inpatient medical records in the inpatient department were extracted from January 2010 to December 2011 and per- formed the prescription comments on the prescription indexes and the patient care indicators. The Microsoft Excel software was adopted to perform the statistical analysis. Results The average number of used drugs was 2.9 and 2. 1 in the outpatient and the emergency departments. The average ratio of irrational prescription was decreased from 21.7% in 2010 to 8.5% in 2011. The inpatient medical records of irrational drug use were reduced from 21.5% in 2010 to 13.9% in 2011.The antibiotic use rate was decreased from 44. 9% in 2010 to 36.3% in 2011. The use rate of generic name reached 100. 0%. Conclusion The prescription comments by using the Microsoft Excel is feasible,which can intervene in irrational drug use effectively and increase the level of rational drug use.

关 键 词：处方管理办法 处方点评 合理用药 

分 类 号：R969.3[医药卫生—药理学] R952[医药卫生—药学]