点评人员对处方点评结果的影响研究  

Study on the Impact of Evaluators on Results of Prescription Evaluation

作　　者：林平[1] 吴雪[1] 赵怀全[1] 甄健存[1] 

机构地区：[1]北京积水潭医院,北京100035

出　　处：《中国药房》2012年第45期4313-4314,共2页China Pharmacy

基　　金：首都医学发展科研基金(2011-管-23)

摘　　要：目的:研究不同点评人员对处方点评结果的影响。方法:将北京地区8家医疗机构的8名处方点评人员均分为4组,分别对254张样本处方进行点评,记录点评结果,分析存在问题并提出建议。结果:254张处方中,4组点评人员判断为合理处方的百分率分别为73.2%、79.1%、72.0%、90.2%,判断为不规范处方的百分率分别为23.2%、15.4%、21.3%、5.1%,判断为用药不适宜处方的百分率分别为3.9%、7.9%、6.7%、4.7%,其中判断结果一致的处方百分率仅为44.5%。结论:不同点评人员对相同样本处方的点评结果差异较大,与点评人员对点评依据的理解、掌握、执行等不同有关。可通过提高点评人员工作技能、规范点评标准等降低点评人员对处方点评结果的影响。OBJECTIVE：To study the impact of different evaluators on results of prescription evaluation.METHODS：8 prescription evaluators from 8 medical institutions in Beijing were divided into 4 groups and evaluated the same 254 sample prescriptions respectively.The evaluation results were recorded and analyzed to put forward suggestions.RESULTS：Among 254 prescriptions evaluated,the percentages of rational prescriptions judged by the 4 groups of prescription evaluators were 73.2%,79.1%,72.0% and 90.2%,respectively;the percentages of irrational prescriptions were 23.2%,15.4%,21.3% and 5.1%;the percentages of inappropriate medication prescriptions were 3.9%,7.9%,6.7% and 4.7% respectively;and the percentage of prescriptions,which revealed similar results,was 44.5%.CONCLUSIONS：The prescription evaluation results judged by different prescription evaluators are much different,which is relevant to the understanding,grasp and execution of evaluation basis for prescription evaluators.The related skill of prescription evaluators needs to be enhanced,and the standard for prescription evaluation should be improved,in order to reduce the effect of prescription evaluators on results of evaluation.

关 键 词：处方点评 点评人员 研究 

分 类 号：R95[医药卫生—药学]