我院2015年1月～10月处方点评不合理用药分析.docVIP

我院2015年1月～10月处方点评不合理用药分析 　　摘要：目的 了解我院处方点评中不合理处方及住院医嘱情况，分析不合理原因，以期促进临床合理用药，保障患者用药安全。方法 汇总我院2015年1月～10月点评的6530张处方，对不合理处方及相关用药信息进行回顾性分析。结果 点评的6530张处方中，不合理处方116张，占点评总处方的1.78%；点评的300份住院医嘱中，不合理医嘱36份，占点评总数的12.00%。结论我院门急诊处方合格率较高，但住院医嘱合格率偏低，需引起重视，针对存在的问题采取有效的措施，保障临床合理用药。 　　关键词：不合理处方；合理用药；处方分析 　　Analysis of Irrational Drug Use in Our Hospital in 2015 January～October 　　LI Shun-qing1，XU Wei-ying2，CHEN Ming-yong1，DUAN Shu-yu1 　　（1.Hospital of Integrated Traditional Chinese and Western Medicine in Yunnan Province，Kunming 650224，Yunnan，China；2.Shanghai Hospital of Traditional Chinese Medicine，Shanghai 200071，China） 　　Abstract：Objective To investigate the application of irrational drug use and impatient prescriptions，analysis the irrational reasons to promote the rational drug use in clinic and protect patients with drug safety. Methods Totally 6530 prescriptions were selected in our hospital from January to October in 2015. The retrospective analysis was performed on its relevant medication information for evaluating the rational drug use，and the irrational drug use was analyzed. Results Irrational drug use was found in 116 prescriptions，and the irrational prescriptions accounted for 1.78%，Irrational impatient prescriptions was found 16 in 300 impatient prescriptions，and the irrational impatient prescriptions accounted for 12.00%. Conclusion Our hospital outpatient and emergency prescriptions of qualified rate is higher， but the qualified rate of impatient prescriptions is low， we should pay attention to these problems， take effective measures to solve the problems and ensure the rational use of drugs in the clinic. 　　Key words：Irrational prescription； Rational drug use； Prescription analysis 　　处方点评是根据相关法规、技术规范，对处方书写的规范性及药物临床使用的适宜性（用药适应性、药物选择、给药途径、用法用量、药物相互作用、配伍禁忌等）进行评价，发现存在或潜在的问题，制定并实施干预和改进措施，促进临床药物合理应用的过程，是医院持续医疗质量改进和药品临床应用管理的重要组成部分，是提高临床药物治疗学水平的重要手段[1]。处方点评有利于提高药物治疗的安全性，有效性和经济性，帮助推进循证医学思维，增强医师和临床药师协助，对医师合理用药和临床药师用药教育具有改善作用[2]。统计我院2015年1月～10月处方点评结果，归纳总结不合理处方，分析不合理情况，