药品评价
藥品評價
약품평개
DRUG REEVALUATION
2013年
18期
27-30
,共4页
社区医院%处方点评%合理用药%不合理处方
社區醫院%處方點評%閤理用藥%不閤理處方
사구의원%처방점평%합리용약%불합리처방
Community Hospital%Prescription Comment%Irrational Prescriptions
目的：：通过对北京市密云地区四家社区医院2012年1-6月门诊处方的规范性、用药适宜性进行点评，了解四家社区医院门诊处方质控现状及存在问题，提醒药师、医师引起注意，促进临床合理用药。方法：以《处方管理办法》、《医院处方点评管理规范(试行)》为依据，随机抽查2012年1-6月份四家社区医院门诊处方，每月100张，共2400张，进行处方点评，对不合理处方进行分析。结果：四家社区医院门诊不合理处方百分率分别为32.17%、28.83%、36.67%、22.67%，不合理项目主要是用法用量不合理，其次是未写临床诊断等。结论：四家社区医院处方还存在一定的问题，需要医院、医师和药师共同努力，建立合理用药的培训监督机制，充分利用医院信息系统，建立健全处方点评制度，以促进医院合理用药水平，保障患者用药安全。
目的：：通過對北京市密雲地區四傢社區醫院2012年1-6月門診處方的規範性、用藥適宜性進行點評，瞭解四傢社區醫院門診處方質控現狀及存在問題，提醒藥師、醫師引起註意，促進臨床閤理用藥。方法：以《處方管理辦法》、《醫院處方點評管理規範(試行)》為依據，隨機抽查2012年1-6月份四傢社區醫院門診處方，每月100張，共2400張，進行處方點評，對不閤理處方進行分析。結果：四傢社區醫院門診不閤理處方百分率分彆為32.17%、28.83%、36.67%、22.67%，不閤理項目主要是用法用量不閤理，其次是未寫臨床診斷等。結論：四傢社區醫院處方還存在一定的問題，需要醫院、醫師和藥師共同努力，建立閤理用藥的培訓鑑督機製，充分利用醫院信息繫統，建立健全處方點評製度，以促進醫院閤理用藥水平，保障患者用藥安全。
목적：：통과대북경시밀운지구사가사구의원2012년1-6월문진처방적규범성、용약괄의성진행점평，료해사가사구의원문진처방질공현상급존재문제，제성약사、의사인기주의，촉진림상합리용약。방법：이《처방관리판법》、《의원처방점평관리규범(시행)》위의거，수궤추사2012년1-6월빈사가사구의원문진처방，매월100장，공2400장，진행처방점평，대불합리처방진행분석。결과：사가사구의원문진불합리처방백분솔분별위32.17%、28.83%、36.67%、22.67%，불합리항목주요시용법용량불합리，기차시미사림상진단등。결론：사가사구의원처방환존재일정적문제，수요의원、의사화약사공동노력，건립합리용약적배훈감독궤제，충분이용의원신식계통，건립건전처방점평제도，이촉진의원합리용약수평，보장환자용약안전。
Objective:To review the regulatory compliance and drug suitability of the outpatient prescription of four community hospitals in Miyun area of Beijing from January to June in 2012, to find out quality control status of outpatient prescription in the four community hospitals, to remind pharmacists and physicians of the existing problems and to promote the clinical rational drug use. Methods:According to"Prescription Management"and"Hospital Prescription Review Management Practices (Trial)", we randomly inspected 100 pieces of prescription monthly and a total of 2400 copies were collected. Unreasonable prescriptions were reviewed and analyzed. Results:The unreasonable prescription rates in the four community hospitals were 32.17%、28.83%、36.67%and 22.67%respectively. Problems mainly involved drug usage and dosage and secondly empty clinical diagnosis. Conclusion:There were still certain problems in the prescription of the four community hospitals which needed efforts of hospitals, doctors and pharmacists to promote rational drug use and ensure patient safety by establishing training and supervision mechanisms, making full use of the hospital information system and improving prescription comment system.
