校医院门诊处方存在问题分析与改进措施  

Occurrence analysis of outpatient prescription of university clinic and improving measures

作　　者：胡梅[1] 朱宪[1] 胡君[1] 

机构地区：[1]首都医科大学校医院,北京100069

出　　处：《首都医科大学学报》2013年第5期724-726,共3页Journal of Capital Medical University

摘　　要：目的通过首都医科大学校医院医院信息管理系统使用前后处方质量变化的情况比较,找出存在的问题,提高处方书写规范化和联合用药的水平,促进医生合理用药,以保证医疗质量和用药安全,杜绝差错事故发生。方法对首都医科大学校医院2009年6月、2010年6月及2011年6月3个时段的门诊药房处方,进行了统计和分析,并对处方中抗生素使用情况进行统计。结果 2009年6月处方总差错率为54.14%,2010年6月处方总差错率51.5%,2011年6月处方总差错率24.28%,门诊处方质量有了明显提高。抗生素的使用状况在3个时段没有太大区别。结论医院信息管理系统的使用使处方的质量有了明显的提高,但抗生素使用状况在3个时段没有太大差别.Objective By comparing the changes in prescription quality of hospital information management system and the situation, the existing problems has been found. Efforts has been made to establish the standard of prescription and combined administration level, to promote the rational use of drugs, ensure the quality of medical care and medication safety, eliminate the occurrence of accident. Methods In our hospital from 2009 June to 2010 and 2011 June, three periods of outpatient prescription and the prescriptions of antibiotics usage were statistically analyzed. Results In 2009 June, the total error rate was 54. 14% , in 2010 June total error rate was 51.5 %, and in 2011 June total error rate was 24. 28%. The quality of outpatient prescription has been significantly improved. There was no significant difference in regard to rhe use of antibiotics in three stages. Conclusion The use of the hospital information management system makes the prescription quality obviously improved, antibiotic use is not much different in the three stages.

关 键 词：处方 合理用药 改进措施 

分 类 号：R197.324[医药卫生—卫生事业管理]