我院门诊处方点评及用药合理性分析

Evaluating outpatient prescriptions and analyzing the rationality of drug administration under new situation in this hospital

目的了解我院门诊处方的书写质量和用药情况,提高门诊合理用药水平。方法随机抽查我院2010-01至2010-06间每月各2 d的门诊处方共14 190张,参照《医院处方点评管理规范(试行)》进行处方分析。结果处方平均用药金额为151.31元,平均用药品种数为2.43种,注射剂、中药注射剂、血液制品、抗菌药物的使用率依次为14.83%、1.72%、0.58%19.89%;不合理处方2082张,占总处方数的14.67%,主要以不规范问题多见,比率达67.39%。结论我院应加强处方点评,进一步提高门诊处方质量,促进合理用药,保障患者用药安全有效。

Objective To im,estigate the writing quality and drug usage information in outpatient prescriptions and raise the level of rational drug use in this hospital. Methods A total of 14190 prescriptions from January to June 2010 （two days of each month） were randomly checked and the results were analyzed according to The Administrative Standard of Evaluating Hospital Prescriptions （ for trial implementation）. Results The mean consumption per prescription was 15131 yuan and the mean variety of drug used amounted to 243 ; the utilization rates of injections, traditional Chinese medicine injections, blood products and antibiotics were 14. 83% , 1.72% , 0.58% ,and 19.89% respectively; the number of irrational prescriptions was 2082 which accounts for 14.67% of total. The most common problem was irrational prescriptions which reached a proportion of 67.39%. Conclusions We need remains to further improve the quality of outpatient prescriptions, strengthen the evaluation of outpatient prescriptions and keep the rational and safe use of drugs in our bospital.