2013年我院门诊处方点评和不合理处方分析.docVIP

2013年我院门诊处方点评和不合理处方分析 　　[摘要] 目的 为提高门诊处方合格率，保障用药安全，减少不合理用药，维护就医患者身心健康，对2013年我院门诊处方的合理性进行评价。 方法 回顾性的对我院2013年门诊全样本共212 263张处方根据本院《处方点评规范实施细则》进行统计、分析和评价。 结果 处方合格率为97.7%，不合理处方中书写不规范和用药不适宜为主要原因，分别占到了不合理处方的45.23%和51.92%。其中，用法用量不适宜占到了整个不合理处方的35.93%。 结论 我院处方的开具中还存在着一些问题，需针对存在的问题采取有效的措施，加强处方点评的力度，加强与医生的沟通和反馈以及对医生合理用药相关知识的培训，以期提高处方合格率，规范合理用药行为。 　　[关键词]处方点评；门诊处方；不合理处方；合理用药 　　[中图分类号] R95 [文献标识码] B [文章编号] 2095-0616（2014）16-129-04 　　Comments on outpatient prescription and analysis of irrational prescription in the hospital in 2013 　　YANG Moyuan WANG Dongfeng WANG Xueer SONG Xue ZHANG Yanzhi 　　Department of Pharmacy， 316 Hospital， Beijing 100093， China 　　[Abstract] Objective To increase the acceptability of outpatient prescription， guarantee medication safety， reduce inappropriate medication and maintain physical and mental health， rationality of the hospitals prescription in 2013 was evaluated. Methods 212 263 samples of the hospitals outpatient prescriptions in 2013 were retrospectively and statistically analyzed and assessed according to Rules for Comment on Prescription of the hospital. Results The acceptability of prescription was 97.2%. Non-standard writing and inappropriate medication were major causes of irrational prescription， which accounted for 45.23% and 51.29% respectively， while inappropriate medication and dosage occupied 35.9% of the irrational prescription. Conclusion There are still some problems with prescription of the hospital， so it is necessary to take effective measures for existing problems， strengthen comments on prescription， enhance physicians communications， feedbacks and trainings about appropriate medication， so as to increase acceptability of prescription and develop physicians acts of appropriate medication. 　　[Key words] Comments on prescription； Outpatient prescription； Unreasonable prescription； Rational drug use 　　处方点评是处方调配后的药物应用评价，是指根据相关法规、技术规范或者事先制定的规定和标准，对处方书写的规范性以及药物临床使用的适宜性（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，发现实际存在或者潜在的用药问题，制定并实施干预