淮海医药
淮海醫藥
회해의약
JOURNAL OF HUAIHAI MEDICINE
2015年
1期
34-35,36
,共3页
门诊处方%分析点评%合理用药
門診處方%分析點評%閤理用藥
문진처방%분석점평%합리용약
Outpatient prescription%Comment and analysis%Rational medication
目的：了解我院门诊西药处方常见问题，规范处方管理，促进临床合理用药。方法随机抽取医院2014年1月－6月1800张门诊处方，根据《处方管理办法》、《医院处方点评管理规范（试行）》以及《抗菌药物临床应用指导原则》进行点评、统计和分析。结果我院门诊处方平均每张用药品种数为2．23种，抗菌药物使用率平均为31.00％，注射剂使用率平均为28．83％。在1800张门诊处方中，不合理处方344张，不合格率为19．11％。其中，不规范处方152张，占不合格处方的44．19％；用药不适宜149张，占不合格处方的43．31％；超常处方43张，占不合格处方12.50％。结论医院门诊处方基本合理，但尚存在较多问题，处方合格率有待进一步提高，抗菌药物存在不合理使用现象，医师和药师需要共同学习，仍需加强对处方的管理、审核及干预以进一步提高处方质量。
目的：瞭解我院門診西藥處方常見問題，規範處方管理，促進臨床閤理用藥。方法隨機抽取醫院2014年1月－6月1800張門診處方，根據《處方管理辦法》、《醫院處方點評管理規範（試行）》以及《抗菌藥物臨床應用指導原則》進行點評、統計和分析。結果我院門診處方平均每張用藥品種數為2．23種，抗菌藥物使用率平均為31.00％，註射劑使用率平均為28．83％。在1800張門診處方中，不閤理處方344張，不閤格率為19．11％。其中，不規範處方152張，佔不閤格處方的44．19％；用藥不適宜149張，佔不閤格處方的43．31％；超常處方43張，佔不閤格處方12.50％。結論醫院門診處方基本閤理，但尚存在較多問題，處方閤格率有待進一步提高，抗菌藥物存在不閤理使用現象，醫師和藥師需要共同學習，仍需加彊對處方的管理、審覈及榦預以進一步提高處方質量。
목적：료해아원문진서약처방상견문제，규범처방관리，촉진림상합리용약。방법수궤추취의원2014년1월－6월1800장문진처방，근거《처방관리판법》、《의원처방점평관리규범（시행）》이급《항균약물림상응용지도원칙》진행점평、통계화분석。결과아원문진처방평균매장용약품충수위2．23충，항균약물사용솔평균위31.00％，주사제사용솔평균위28．83％。재1800장문진처방중，불합리처방344장，불합격솔위19．11％。기중，불규범처방152장，점불합격처방적44．19％；용약불괄의149장，점불합격처방적43．31％；초상처방43장，점불합격처방12.50％。결론의원문진처방기본합리，단상존재교다문제，처방합격솔유대진일보제고，항균약물존재불합리사용현상，의사화약사수요공동학습，잉수가강대처방적관리、심핵급간예이진일보제고처방질량。
Objective To investigate the common problems in our hospital's outpatient prescriptions ,standardize the man-agement of prescription and promote rational clinical drug use .Methods 1800 outpatient prescriptions from January 2014 to June 2014 were randomly selected .Comments,counting and analysis were conducted based on documents such as Administra -tive Rules on Prescriptions ,Standard Management of Hospital Prescription Comments ( Draft) ,and Guiding Principles of Clini-cal Use of Antibacterials.Results For an average outpatient prescription ,2.23 drugs were administered.The antibacterials use accounted for 31%and the injections use was 28.83%.Of the 1800 prescriptions,344 were singled out as irrational ,with an unqualified rate of 19.11%.152 prescriptions were identified as non-standard,accounting for 44.19%of the irrational 344. 149 were taken as inappropriate ,the rate being 43.31%.43 of the non-standard prescriptions were rated as extraordinary ,with a rate of 12.5%.Conclusion The outpatient prescriptions of our hospital are basically reasonable ,though some problems are still to be settled and the qualified rate is to be raised .Irrational use of antibacterials are still prevalent to some extent .Doctors and pharmacists should further their professional studies ,reinforce drug administration ,examination and intervention so as to improve the quality of prescriptions .
