攀枝花市中西医结合医院2015年6月全院处方点评情况及结果.docVIP

精品论文 参考文献 攀枝花市中西医结合医院2015年6月全院处方点评情况及结果 （攀枝花市中西医结合医院 四川 攀枝花 617000） 　　【摘要】 目的：通过对全院处方进行标准化点评，并对点评结果予以统计分析，促进临床合理用药。方法：随机抽门诊、急诊、住院药房2015年6月普通处方3600张，进行标准化处方点评，并对处方点评结果予以统计分析。结果：有511张处方存在不合理用药现象，占14.20%。其中。超常处方63帐，占1.75%；用药不适宜处方24张，占0.67%；不规范处方424张，占11.78%。处方合格率85.81%；平均每张处方金额达215.97元，金额较大。结论：不规范处方数较多，超常处方问题突出，处方金额较大，处方合格率有持提高，应用抗菌药物情况较严重，应加强《处方管理办法》和《抗菌药物临床应用管理办法》的培训和学习。 　　【关键词】 处方点评；超常处方；抗菌药物；处方金额 　　【中图分类号】R289 【文献标识码】A 【文章编号】2095-1752（2016）30-0039-02 　　The prescription continent and analysis of results of our hospital in June 2015 　　Zhang Xia. 　　Panzhihua Hospital of Integrated Traditional Chinese Medicine amp; Western Medicine, Sichuan Province, Panzhihua 617000, China 　　【Abstract】Objective To comment standardly and analyze prescriptions of the whole hospital, so as to promote rational clinical use of drugs. Methods We extracted 3600 ordinary prescriptions randomly from the pharmacies of outpatient,emergency and inpatient in June 2015,which were commented and statistically analyzed. Results 511 prescriptions had irrational drug use,accounting for 14.20%（including 63 extraordinary prescriptions,accounting for 1.75％；24 inappropriate prescription,accounting for 0.67％；424 non-standard prescription,accounting for 11.78%）.The rate of qualified prescription is 85. 81％.The average cost per prescription was￥215.97,which is too much. Conclusion There are a lot of non-standard prescriptions,and the problem of extraordinary prescriptions is serious.The cost per prescription is expensive. Qualified rate of prescriptions needs to be improved and the application of antibiotics is in serious condition. So we should strengthen the training and learning of the Prescription Management and the Clinical Use of Antibiotics Management Approach. 　　【Key words】Prescription comment;Extraordinary prescription;Antibiotics;Cost 　　处方是指由注册的执业医师和执业助理医师在诊疗活动中为患者开具的、由取药学专业技术职务任职资格的药学专业技术人员审核、调配、核对，并作为患者用药凭证的医疗文书。处方时医生对患者用药的书面文件，是药剂人员调配药品的依据，具有法律、技术、经济责任。处方