2400张门急诊处方点评与分析  

Review and Analysis on 2 400 Prescriptions in Outpatient and Emergency Department

作　　者：吴丽莎 林伟豪 

机构地区：[1]深圳市坪山区人民医院药剂科,广东深圳518118

出　　处：《中国医院用药评价与分析》2018年第1期125-127,131,共4页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解深圳市坪山区人民医院(以下简称"我院")门急诊处方合理性,探索提高临床合理用药水平的措施。方法:采用回顾性分析法,对随机抽取的2015—2016年我院门急诊处方2 400张进行点评与分析。结果:2 400张门急诊处方中,抗菌药物使用率为30.63%,药品通用名使用率为100%,国家基本药物使用率为34.68%,注射剂使用率为33.29%,处方平均金额为96.62元,处方平均用药品种数为2.47种。不合理处方150张(占6.25%),主要不合理类型为不规范处方、用药不适宜处方和超常处方,部分处方同时存在多种不合理情况。结论:我院门急诊处方基本合理,但仍存在部分不合理用药问题,仍需进一步改进和完善。OBJECTIVE： To investigate the rationality in prescriptions of outpatient and emergency department in Pingshan People＇s Hospital（ hereinafter referred to as ＂our hospital＂）,and to explore measures to promote clinical rational drug application. METHODS： 2 400 prescriptions in outpatient and emergency department in our hospital during 2015-2016 were randomly extracted and retrospectively analyzed. RESULTS： Of the 2 400 prescriptions,the usage rate of antibiotics was 30. 63%,the usage rate of approved drug names was 100%,the usage rate of national essential drugs was 34. 68%,the usage rate of injection was 33. 29%,the average consumption sum was 96. 62 yuan,the average number of species of drugs was 2. 47. There were 150 irrational prescriptions（ 6. 25%）,types of irrational drug application mainly including nonstandard prescriptions,prescriptions with inappropriate medication and abnormal prescriptions,part of prescriptions had more than one type of irrational situation. CONCLUSIONS： Drug application in prescriptions of outpatient and emergency department in our hospital is basically rational,however,irrational situation still exists which needs further improvement.

关 键 词：门急诊处方 点评 合理用药 分析 

分 类 号：R969.3[医药卫生—药理学]