中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
10期
1237-1238
,共2页
段舟萍%裘雅玲%胡翔%万子杨
段舟萍%裘雅玲%鬍翔%萬子楊
단주평%구아령%호상%만자양
合理用药%处方点评%不合理处方%处方规范
閤理用藥%處方點評%不閤理處方%處方規範
합리용약%처방점평%불합리처방%처방규범
Rational drug use%Prescriptions evaluation%Irrational prescription%Prescriptions standard
目的 提高处方质量，减少不合理处方，促进合理用药。方法 以《处方管理办法》及《医院处方点评管理规范（试行）》为依据，对我院2008-2010年门诊处方进行分类分析，并根据卫生部制定的处方评价表，计算我院门诊处方用药指标。结果 2008年调查处方22 395张，不合格处方923张，不合格率4.12％；2009年调查处方20 723张，不合格处方1025张，不合格率4.95％；2010年调查处方59 462张，不合格2853张，不合格率4.80％。处方不合格率均在卫生部要求的5％以下。2008-2010年的用药指标均在WHO制定的发展中国家医疗机构门诊药品合理用药利用标准范围内。影响处方合格率的4种主要类型为诊断不规范、诊断书写不全；处方选择不正确；药品剂量、数量、单位书写错误；用法用量不适宜。结论 我院门诊处方用药基本合理，处方不合格率大部分源于处方规范性方面问题。
目的 提高處方質量，減少不閤理處方，促進閤理用藥。方法 以《處方管理辦法》及《醫院處方點評管理規範（試行）》為依據，對我院2008-2010年門診處方進行分類分析，併根據衛生部製定的處方評價錶，計算我院門診處方用藥指標。結果 2008年調查處方22 395張，不閤格處方923張，不閤格率4.12％；2009年調查處方20 723張，不閤格處方1025張，不閤格率4.95％；2010年調查處方59 462張，不閤格2853張，不閤格率4.80％。處方不閤格率均在衛生部要求的5％以下。2008-2010年的用藥指標均在WHO製定的髮展中國傢醫療機構門診藥品閤理用藥利用標準範圍內。影響處方閤格率的4種主要類型為診斷不規範、診斷書寫不全；處方選擇不正確；藥品劑量、數量、單位書寫錯誤；用法用量不適宜。結論 我院門診處方用藥基本閤理，處方不閤格率大部分源于處方規範性方麵問題。
목적 제고처방질량，감소불합리처방，촉진합리용약。방법 이《처방관리판법》급《의원처방점평관리규범（시행）》위의거，대아원2008-2010년문진처방진행분류분석，병근거위생부제정적처방평개표，계산아원문진처방용약지표。결과 2008년조사처방22 395장，불합격처방923장，불합격솔4.12％；2009년조사처방20 723장，불합격처방1025장，불합격솔4.95％；2010년조사처방59 462장，불합격2853장，불합격솔4.80％。처방불합격솔균재위생부요구적5％이하。2008-2010년적용약지표균재WHO제정적발전중국가의료궤구문진약품합리용약이용표준범위내。영향처방합격솔적4충주요류형위진단불규범、진단서사불전；처방선택불정학；약품제량、수량、단위서사착오；용법용량불괄의。결론 아원문진처방용약기본합리，처방불합격솔대부분원우처방규범성방면문제。
Objective To improve the quality of prescription, to reduce the irrational prescription and promote rational drug use. Methods The irrational prescription for outpatients from 2008 to 2010 was studied based on the Law of Prescription Management and Hospital Management Practices about Prescription Comments ( Trial version). The medication index was calculated according to the prescription evaluation form designed by ministry of health. Results The analysis showed that there were 16 types of irrational prescriptions in our hospital. Qualified rate of 2008, 2009 and 2010 were 95.88％, 95.05％ and 95.2％ respectively and irrational rates were 4.12％,4.95％ and 4.80％ respectively. Therefore, all data was below 5％ and met the requirements of the ministry of health. All medication indexes were within the range of rational drug use standard of Medical Institutions in Developing Countries. This standard was enacted by world health organization (WHO). Conclusiom The drug use and outpatient prescription are relatively reasonable in our hospital. The irrational prescription mainly is from nonstandard prescriptions.
