我院门诊中草药电子处方使用分析和评价.docVIP

我院门诊中草药电子处方使用分析和评价 　　[摘要]目的 为了了解中草药房电子处方使用情况，以2013年7月处方为研究对象，对处方进行审查及分析评价。方法 随机抽取1000张机打处方，列表、逐张逐项登记，并且运用Excel 2007进行统计分析。结果 电子处方各项合格率超出88%，合理用药合格率达99.7%，各项不合格率低于15%。结论 中草药处方施行电子处方，在我院运行良好，具有传递信息快，项目完整，字迹清晰，中药饮片名称标准化，能够提高医师、药师工作效率，降低不合格处方率。 　　[关键词] 中草药房电子处方；分析；建议 　　[中图分类号] R952 [文献标识码] B [文章编号] 2095-0616（2014）04-161-03 　　Analysis and evaluation on the application of electronic prescriptions for Chinese herbal medicine in the outpatient clinic of our hospital 　　WANG Hongli LIU Xianlei FENG Yan 　　Department of Pharmacy of Traditional Chinese Medicine， The First Affiliated Hospital of Henan College of Traditional Chinese Medicine，Zhengzhou 450000，China 　　[Abstract] Objective To understand the situations of applying electronic prescriptions for Chinese herbal medicine by selecting the prescriptions in July 2013 as subjects and monitoring， analyzing and evaluating the selected prescriptions. Methods 1000 printed prescriptions were randomly selected， recorded in tables with detailed items and statistically analyzed via Excel 2007. Results Qualification rate of all items in the electronic prescriptions was 88%. Qualification rate of rational drug use was 99.7%. Disqualification rate of all items was lower than 15%. Conclusion The application of electronic prescriptions for Chinese herbal medicine in our hospital has favorable effects of rapid information transfer， complete items， legible handwritings， and standardization of names of traditional Chinese medicine. This helps improve the working efficiency of doctors and pharmacists， and reduce disqualification rate of prescriptions. 　　[Key words] Electronic prescriptions for Chinese herbal medicine；Analysis；Suggestions 　　所谓电子处方系统就是以网络传输为技术平台，采用现代电子信息技术，将患者的相关信息以及医师为患者开具的处方以电子信息的形式在门诊、药房以及医院各个医疗组织中传递和保存，以此为目的开发与运用的软件系统[1]。电子处方系统提高了医生、药师的工作效率，缩短了患者的就诊时间，节省了医疗成本，节约了医疗资源[2]。随着医药信息化的快速发展，我院于2012年3月正式实行门诊中草药处方电子化，目前已运行一年多了，笔者对2013年7月的处方进行了统计分析，以了解目前电子处方使用情况及存在问题，以加强我院处方管理，提高处方质量，规范医疗行为，促进合理用药，确保医疗安全。 　　1 资料与方法 　　1.1 一般