2015年新疆医科大学第一附属医院昌吉分院门诊处方点评与分析  

Review and Analysis on Outpatient Prescriptions in the First Affiliated Hospital of Xinjiang Medical University Changji Branch in 2015

作　　者：马春梅[1] 高苗苗[1] 李嘉滢[1] 唐云龙[1] 

机构地区：[1]新疆医科大学第一附属医院昌吉分院临床药学科,新疆昌吉831100

出　　处：《中国医院用药评价与分析》2017年第2期285-286,288,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解新疆医科大学第一附属医院昌吉分院(以下简称"我院")门诊处方合理用药情况,以提高处方质量,促进合理用药。方法:收集我院2015年155 764张门诊处方,按照等间隔抽样方法抽取17个临床科室的处方共1 200张,依据《处方管理办法》《医院处方点评管理规范(试行)》等的要求进行合理性评价。结果:我院处方平均用药品种数为1.41种;抗菌药物处方所占比例为10.50%(126/1 200);处方平均销售金额为67.32元。2015年门诊取消静脉输液后,注射剂应用率为0;药品通用名的使用率为100.00%。合理处方1 150张(占95.83%),不合理处方50张(占4.17%)。不合理处方类型包括不规范处方、用药不适宜处方、超常处方,其中,不规范处方与用药不适宜处方中存在较多问题。结论:我院门诊处方较为合理,但仍存在一些问题,临床医师和药师应提高专业知识水平,规范用药行为、提高审方能力,促进临床合理用药。OBJECTIVE ： To investigate the rational drug use status of outpatient prescriptions in the First Affiliated Hospital of Xinjiang Medical University Changji Branch （ hereinafter referred to as ＂our hospital＂ ） , so as to improve the prescription quality and promote the rational drug use. METHODS： By equal interval sampling method, 155 764 prescriptions were collected in 2015. By equal interval sampling method, 1 200 prescriptions were extracted from 17 departments in our hospital. Rationality evaluation was conducted according to Prescription Management Method and Hospital Prescription Review Management Standard （Trial）. RESULTS： The average number of drug categories per prescription in our hospital was 1.41 ; the ratio of antibiotics prescriptions was 10. 50% （ 126/1 200 ） , and the average consumption sum per prescription was 67.32 yuan. After the abrogate of outpatient intravenous infusion in 2015, the use rate of injection was 0 ; and the use rate of the approved drug names was 100. 00%. There were 1 150 rational outpatient prescriptions （95.83%）, and 50 prescriptions were irrational （4. 17% ）. The irrational types of prescriptions were non-standard prescriptions, improper administration and abnormal prescriptions; among which, more problems were existed in non-standard prescriptions, improper administration preseriptions. CONCLUSIONS： The outpatient drug use in our hospital is basically rational, yet there are still some irrational problems. Therefore, the clinicians and clinical pharmacists are suppose to raise the level of professional knowledge, regulate clinicians＇ drug behavior and improve prescriptions for ability, so as to promote the rational drug use in clinic.

关 键 词：门诊处方 处方点评 不合理用药 

分 类 号：R969.3[医药卫生—药理学]