CAJ | 학술논문

目的：了解某院门、急诊处方情况，有针对性地改进门、急诊处方点评及处方质量监控流程，提高处方合理率，促进合理用药。方法：随机抽取2013年该院每月1个工作日的非中草药处方，周一至周五轮流抽取，针对纸质处方，初步筛选出不合理的处方进行归类分析；利用合理用药系统，统计各类指标数据，并根据系统提示的用药问题逐一审查电子处方，评价用药的合理性。结果：2013年该院点评处方共67992张，不合理处方6241张，占总处方数的9.18％；其中，不规范处方5730张（占总处方数的8.43％），不适宜处方266张（占总处方数0.39％），超常处方245张（占总处方数的0.36％），处方合理率逐月稳步提高。结论：经过处方点评，有针对性地解决了门、急诊处方存在的问题，该院处方合理率有所提高，但仍需进一步加强处方点评工作。
목적：료해모원문、급진처방정황，유침대성지개진문、급진처방점평급처방질량감공류정，제고처방합리솔，촉진합리용약。방법：수궤추취2013년해원매월1개공작일적비중초약처방，주일지주오륜류추취，침대지질처방，초보사선출불합리적처방진행귀류분석；이용합리용약계통，통계각류지표수거，병근거계통제시적용약문제축일심사전자처방，평개용약적합이성。결과：2013년해원점평처방공67992장，불합리처방6241장，점총처방수적9.18％；기중，불규범처방5730장（점총처방수적8.43％），불괄의처방266장（점총처방수0.39％），초상처방245장（점총처방수적0.36％），처방합리솔축월은보제고。결론：경과처방점평，유침대성지해결료문、급진처방존재적문제，해원처방합리솔유소제고，단잉수진일보가강처방점평공작。
OBJECTIVE:To investigate the outpatient & emergency prescriptions and improve prescription review and quality monitoring process of outpatient & emergency prescriptions in order to improve the qualification rate of prescriptions and promote rational use of drugs .METHODS:The prescriptions of Chinese herbal medicine within one workday ( from Monday to Friday in turn ) each month were sampled randomly in outpatient and emergency department . The irrational paper prescriptions were screened out for classified analysis .The rational drug use system was employed for statistical analysis of the indexes , and the electronic prescriptions were reviewed one by one in view of the drug use problems prompted by the systems with rational use of drug evaluated .RESULTS:67 992 prescriptions were reviewed in 2013 in this hospital, of which, 6 241(9.18%)were irrational, 5 730(8.43%)nonstandard and 245(0.36%)off-label.The qualification rate of prescriptions increased steadily month by month .CONCLUSIONS:Through prescription review and tackling the problems existing in outpatient&emergency prescriptions , the rate of rational prescriptions has increased;however , the prescription review work remains to be strengthened further .