某三甲医院门诊处方点评的分析研究

A 3A hospital outpatient prescriptions analysis of comments

目的了解某三甲医院门诊处方质量,为干预用药提供依据。方法采用随机抽样的方法,选取4个科室的2008年第3、4季度的门诊处方适量,按照《处方管理办法》的要求对其逐一点评;同时每季度同期从就诊患者中随机抽取30名,获取关怀指标,并将相关数据进行统计学处理。结果2008年第3、4季度的某三甲医院的门诊处方,合格率分别为20%、39.7%。不合格处方的主要表现为处方超量、诊断不规范、用法用量不正确、重复用药及药物选择不正确等。结论完善医院HIS系统的功能设置,深入学习和贯彻相关法律法规和诊疗规范的要求,不断提高门诊处方的质量,实现合理用药的目的。

Aim To know the out-patient prescription quality in a 3A grade hospital,so as to provide the basis for the intervention medication.Methods With a random sampling method,out-patient prescriptions among four sections in the 3rd,4th quarter of 2008 were selected and evaluated,in accordance with the ＂management prescription＂.At the same time,30 patients were randomly selected every quarter over the same period for care indicators,and relevant statistical data were analyzed.Results Outpatient prescriptions were well written specification , with a pass rate of 20% ,39.7%. Non-standard prescriptions were mainly over-prescription, diagnosis is not standardized, the amount of usage is not correct, repeat drug use and irrational drug choices. Conclusion Function of the HIS system setting should be improved. We shoud wake, in - depth study and implementation of relevant laws and regulations, the requirements of medical norms to continuously improve the quality of outpatient prescriptions, so as to achieve the purpose of rational drug use.