深圳市某区医疗中心门/急诊处方合理性评价

Evaluation of the Rationality of Prescriptions in the Outpatient/Emergency Departments of a Regional Medical Center in Shenzhen

目的:了解深圳市某区医疗中心门/急诊处方质量和合理用药情况。方法:以《处方管理办法》、《中国药典·临床用药须知》为依据,对2009年1至12月抽取的8400张处方进行合理性分析。结果:书写不规范处方451张(5.4%),主要为缺漏项;不合理用药处方314张(3.7%),主要表现在用药疗程过长、无适应证用药、超范围使用抗菌药等;人均用药品种为2.30种,药品通用名应用率为98.6%,基本药物应用率为87.0%,注射剂应用率为21.6%,抗菌药物应用率为36.4%,人均药费为122.21元。结论:该院门/急诊处方规范书写和合理用药水平有待提高,需要进一步干预。

OBJECTIVE：To probe into the quality of prescriptions and rational use of drugs in outpatient/emergency departments of a regional medical center in Shenzhen.METHODS：According to Prescription Administration Regulation and Instruction for Clinical Drug Use of Chinese Pharmacopeia,8 400 prescriptions of outpatient/emergency departments were collected from the hospital during Jan.～Dec.2009 to analyze the rationality of them.RESULTS：The writing of 451 prescriptions was irregular（5.4%）,mainly such as missing items;unreasonable drug use was found in 314 prescriptions（3.7%）,such as long medication period,medication without indication,application of antibiotics beyond demand.2.30 kinds of drugs were used per patient on average;the application rate of general names of drugs was 98.6%;the application rate of essential drugs was 87.0%;the application rate of injections was 21.6%;the application rate of antibiotics was 36.4%;the per capita drug cost was 122.21 yuan.CONCLUSION：The writing of prescription and rational use of drugs in outpatient/emergency departments of the hospital should be improved.Further interventions are necessary.