我院门诊处方点评及分析 刘冰 潘希丁 唐幕菲 刘培延.docVIP

精品论文 参考文献 我院门诊处方点评及分析 刘冰 潘希丁 唐幕菲 刘培延 刘冰 潘希丁 唐幕菲 刘培延▲（南京医科大学附属南京医院药学部( 南京市第一医院） 江苏南京 210006） 　　【摘要】目的 对我院门诊处方的合理性进行点评与分析，为提高我院处方质量，促进临床合理用药提供参考。方法 随机抽取我院自2014-1 月至2014-6 月的门诊处方86554 张，依据《处方管理办法》、《医院处方点评管理规范（试行）》、药品说明书及临床指南等其他相关资料，对处方进行合理性点评与分析。结果 86554 张门诊处方合格率为96.2%。3277 张(3.8%) 不合理处方中包括不规范处方2562 张（78.2％），不合理用药处方657 张（20.1％），超说明书用药58 张（1.7％）。结论 通过对门诊处方的合理性进行定期的点评与结果分析，可及时发现问题，为医院监管部门针对发现的问题及时采取积极有效的预防改进措施提供参考，进而更好地保障患者用药的安全、合理、有效。 　　【关键词】 门诊处方；处方点评；处方分析；用药合理性【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165（2015）09-0529-02Review and Analysis on Outpatient Prescriptions of Our HospitalLiu Bing Pan xi-ding Tang mu-fei Liu Pei-yan ▲Department of Pharmacy,Nanjing Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Nanjing 210006,ChinaAbstract： Objective: To review and analysis the rationality of the outpatient prescriptions in our hospital so as to improve the quality of our prescriptionsand promote clinical rational drug use. Methods: 86554 outpatient prescriptions from January 2014 to June 2014 were collected randomly for review andanalysis according to Prescription Management Method, Management Pratices on Hospital Prescription Review(Trial), Guiding Principles of Clinical Useof Antibiotics, drug instructions and other relevant documents. Results: The qualified rates of the 86554 outpatient prescriptions was 96.2% respectively.The total irrational prescriptions were 3277(3.8%),included 2562 nonstandard writing of prescription , 657 nonstandard use of drugs and 58 off-labeluse,accounting for 78.2% , 21.8% and 1.7% of the total irrational prescriptions . Conclusion: Review and analysis on the rationality of the outpatientprescriptions regularly can help to find problems of prescriptions in time,follow by taking corresponding measures and ensure rational, safe and effectiveuse of clinical medication.Key words： Outpatient prescription; Prescription review; Prescription analysis; The rationality of drug use 　　处方作为患者用药凭证的医疗文书，在一定程度上体现了医院的医疗质量水平。处方点评与分析工作是目前医院进行药物临床应用管理及