摘要
目的:了解处方点评制度的实施对处方质量的影响。方法:分别抽取我院2007年第1季度和2009年第1季度的门诊处方各1000张作为实行处方点评制度前、后的处方样本,进行回顾性的定量评价与分析。结果:实施处方点评制度前、后,写有商品名的处方比例分别为57.5%、14.4%;药品规格书写不合规范比例分别为55%、4.8%;同张处方开具药品超过5种的比例分别为5.8%、1.2%;抗菌药物使用的百分率分别为40%、22.4%;抗菌药物单用、二联、三联、四联使用的比率分别为38.32%、48.60%、12.15%、0.93%和82.14%、14.29%、3.57%、0;急性上呼吸道感染患者使用抗菌药物的比例分别为64.79%、40.54%。结论:处方点评制度的实施明显提高了本院门诊处方的质量,有效地促进了抗菌药物等的合理使用。
OBJECTIVE: To investigate the effect of prescription commenting system on the quality of out-patient prescriptions. METHODS: 1 000 out-patient prescriptions were collected from the first three months in 2007 and 2009 respectively. Retrospective quantitative evaluation and analysis of them was carried out. RESULTS: Before and after the implementation of prescription commenting system, the proportion of prescriptions with trade names of drugs were 57.5% and 14.4%; the proportion of prescription with non-standardized drug specifications were 55% and 4.8%; the proportion of prescription with more than 5 kinds of drugs were 5.8% and 1.2%; the percentages of prescription with antimicrobial agents were 40% and 22.4%; the proportion of prescription with single drug, two drugs, three drugs and four drugs were 38.32% vs. 82.14%, 48.60% vs. 14.29%, 12.15% vs. 3.57%, 0.93% vs. 0; the proportion of antimicrobial agents in patients with upper respiratory tract infection were 64.79% and 40.54%. CONCLUSION: The implementation of prescription commenting system has markedly improved the quality of out-patient prescriptions in our hospital, and has effectively promoted rational use of drugs, such as antimicrobial agents.
出处
《中国药房》
CAS
CSCD
北大核心
2010年第37期3548-3550,共3页
China Pharmacy
关键词
我院
门诊处方
处方点评制度
处方质量
合理用药
抗菌药物
Our hospital
Out-patient prescriptions
Prescription commenting system
Quality of prescriptions
Rational use of drugs
Antimicrobial agents