摘要
目的通过对处方进行点评分析，了解处方基本情况和存在的问题，规范处方书写和促进合理用药。方法以随机抽样法抽取某院2012年1～12月门诊处方4080张逐一点评，分类统计基本用药指标和汇总点评结果进行分析。结果平均每张处方用药2．74种，平均每张处方金额128．32元，抗菌药物使用率为29．63％，注射剂使用率为22．54％，药品通用名使用率为98．42％，基本药物使用率为41．69％，不合格处方281张，占抽查处方数的6．89％，其中不规范处方173张，用药不适宜处方94张，超常处方14张，分别占不合理处方数的61．57％、33．45％、4．98％。结论某院门诊处方基本合理、规范，对存在的问题，医院还须加强管理和干预，进一步提高医师合理用药、书写处方和药师审核处方的水平，进而提高处方质量。
Objective To probe into basic situation and existing problems in outpatient prescriptions through comment and analysis of the outpatient prescriptions so as to standardize prescription writing and improve rational drug use. Methods A total of 4080 outpatient prescriptions from January to December, 2012 of some hospital were randomly selected, reviewed one by one, and analyzed by classification statistic of basic drug indicators and summary of comment results. Results Of the 4080 prescriptions reviewed, an average of 2.74 drugs was used per prescription and the average cost of each one was 128.32 Yuan. 29.63% of the prescriptions prescribed antibiotics, 22.54% injections, 98.42% drugs in generic names, and 41.69% prescribed essential drugs. 281（6.89%） were unreasonable in which 173 were nonstandard, 94 inappropriate in drug use and 14 had off-label use, which accounted for 61.57%, 33.45%, 4.98% of all unreasonable prcscriptions respectively. Conclusion The prescription of the hospital outpatient department was rational and standard on the whole. Yet there remain some problems. The hospital needs to strengthen the management and intervention, to further improve physicians rational drug use, prescription- writing and the pharmacists audit level of prescriptions, so as to improve the quality of prescriptions.
出处
《中国医药科学》
2013年第20期142-144,共3页
China Medicine And Pharmacy
关键词
处方点评
处方分析
合理用药
Prescription comment
Prescription analysis
Rational drug use
