我院2015年7-12月和2016年1-6月门诊处方点评结果比较分析  

Analysis and Comparison of the Outpatient Prescription Comment between July to December 2015 and January to June 2016 in Our Hospital

作　　者：彭骞[1] 蒋志平[1] 何莉梅[1] 何周康[1] 

机构地区：[1]湖南省儿童医院,湖南长沙410007

出　　处：《儿科药学杂志》2017年第4期39-42,共4页Journal of Pediatric Pharmacy

摘　　要：目的:促进我院门诊合理用药,保障患者用药安全。方法:从我院2015年7月至2016年6月的门诊用药处方中,每月随机抽取100张,共抽取1 200张,依据处方点评相关规定以及其他参考文献和药品说明书进行处方点评,按2015年7-12月和2016年1-6月分别进行药物品种数和药物临床使用的适宜性比较分析。结果:2015年7-12月平均每张处方药品种数2.28种、金额160.08元;抗菌药物处方比例21.67%,注射剂处方比例18.33%;不合理处方比例13.50%(81/600),其中,不规范处方占8.64%(7/81),用药不适宜处方占83.95%(68/81),超常处方占7.41%(6/81)。2016年1-6月平均每张处方药品种数2.53种、金额167.45元;抗菌药物处方比例19.83%,注射剂处方比例19.17%;不合理处方比例9.67%(58/600),其中,无不规范处方,用药不适宜处方占87.93%(51/58),超常处方占12.07%(7/58)。结论:药师定期进行处方点评,对不合理处方提出质量改进建议,并将处方点评和分析结果定期公示,及时完善电子处方信息系统,可有效减少处方不合理现象,防止不良反应/事件发生。Objective： To promote the rational drug use in our hospital outpatient and guarantee the drug safety of children. Methods：A total of 100 outpatient prescriptions were withdrawn randomly every month from July 2015 to June 2016. Totally 1,200 prescriptions were extracted in the research. The prescriptions were commented according to related provisions,reference and drug instructions. The number of drugs and the rationality of drug use were compared in July to December 2015 and January to June 2016. Results： The average number of drugs was 2. 28,the average sum was 160. 08 yuan in July to December 2015. The percentage of antibiotics prescriptions was 21. 67%. The percentage of injection prescriptions was 18. 33%. The percentage of unreasonable prescription was13. 50%（81/600）,including irregular prescriptions（8. 64%）,improper prescriptions（83. 95%）,abnormal prescriptions（7. 41%）.Whereas the average number of drugs was 2. 53,the average sum was 167. 45 yuan in January to June 2016. The percentage of antibiotics was 19. 83%. The percentage of injection prescriptions was 19. 17%. The percentage of unreasonable prescription was 9. 67%（58/600） including none irregular prescriptions,improper prescriptions（87. 93%）,abnormal prescriptions（12. 07%）. Conclusion：After continuous prescription comment at regular intervals,pharmacist give advice on the improper prescription,and publicity the results of prescription comment,which can reduce the adverse drug reaction.

关 键 词：门诊处方 不合理性 用药安全 

分 类 号：R952[医药卫生—药学]