2845张门诊处方点评与分析  

Review and Analysis on 2845 Outpatient Prescriptions

作　　者：侯新楠 HOU Xinnan(Dept.of Pharmacy,Central Hospital of Beijing Municipal Administration of Prisons,Beijing 100054,China)

机构地区：[1]北京市监狱管理局中心医院药剂科,北京100054

出　　处：《中国医院用药评价与分析》2018年第8期1129-1131,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解北京市监狱管理局中心医院(以下简称"我院")门诊处方特点及合理用药情况,以加强处方规范化管理,促进临床合理用药。方法:按月随机抽取2017年3月至2017年12月我院门诊处方,共2 845张,统计处方患者年龄及用药特点,按《处方管理办法》《医院处方点评管理规范(试行)》及药品说明书的要求进行点评与分析。结果:2 845张门诊处方中,处方平均用药品种数为2.72种,处方平均金额为316.54元,抗菌药物使用率为9.05%,注射剂使用率为3.47%,药品通用名使用率为100%;合理处方2 566张,处方合理率为90.19%;不合理处方主要表现为不规范处方和用药不适宜处方。结论:我院门诊处方存在一些不合理的问题,应持续开展处方点评工作,加强医务人员各项规章制度及专业知识的培训,提高处方质量,引进合理用药软件,提高临床合理用药水平。OBJECTIVE： To investigate the characteristics and rational drug application of outpatient prescriptions in Central Hospital of Beijing Municipal Administration of Prisons（ hereinafter referred to ＂our hospital＂）,so as to reinforce the standardized administration of prescriptions and to promote clinical rational drug application. METHODS：2 845 outpatient prescriptions from Mar. 2017 to Dec. 2017 in out hospital were randomly extracted monthly,patients＇ ages and medication features were collected. The prescriptions were reviewed and analyzed according to ＂Prescription Management Measures＂, ＂Hospital Prescription Review Management Regulations（ Trial） ＂ and dispensatories.RESULTS： Of the 2 845 outpatient prescriptions,with averagely 2. 72 categories of drugs and 316. 54 yuan in each prescription,the usage rate of antibiotics,injection and generic names were respectively 9. 05%,3. 47% and 100%;there were 2 566 rational prescriptions,with the rational rate of 90. 19%; irrational prescriptions mainly were nonstandard prescriptions and prescriptions with inappropriate drug application. CONCLUSIONS： There are some irrational prescriptions in our hospital which needs continuous prescription review,medical staff should be trained for regulations and professional knowledge,so as to improve the quality of prescriptions,introduce rational drug use software and promote the level of clinical rational drug use.

关 键 词：门诊处方 处方点评 合理用药 

分 类 号：R97[医药卫生—药品]