规范性处方点评对我院门/急诊处方质量改进的作用

Effects of Standardized Prescription Comment on Quality Improvement of Outpatient Prescription in Our Hospital

目的:改进我院门/急诊处方质量,提高临床合理用药水平。方法:随机抽取我院干预前(2010年4-6月)和干预后(2010年7-9月)门/急诊处方各1800张,分成干预前、干预后共2组,以《处方管理办法》、《医院处方点评管理规范(试行)》为依据,对处方基本指标、不合理用药处方进行对比分析。结果:合理处方率由干预前的(91.83±3.31)%上升为干预后的(97.11±1.58)%,抗菌药物使用率由(37.60±6.27)%下降为(19.70±3.35)%,注射剂使用率由(22.60±3.21)%下降为(13.20±1.95)%;不合理用药处方由干预前的147张下降为干预后的52张,其中无特殊情况门/急诊处方超常用量由41张下降为18张,未按规定开具抗菌药物由32张下降为6张,用法、用量不适宜由22张下降为12张。结论:规范性处方点评使我院门/急诊处方质量提高显著。

OBJECTIVE： To improve the quality of outpatient and emergency prescriptions in our hospital, and to improve rational drug use. METHODS： 1 800 outpatient prescriptions were randomly collected before （Apr.-Jun. in 2010） and after intervention （Jul. - Sept. in 2010）, respectively. They were divided into before intervention group and after intervention group. According to Prescription Management and Hospital Prescription Comment Management Practice （trial）, basic index of prescription and irrational drug use prescription were analyzed comparatively. RESULTS： The proportion of rational prescribing increased from （91.83 ± 3.31） % （before intervention） to （97.11 ± 1.58）% （after intervention）. The utilization ratio of antibiotics decreased from （37.60 ± 6.27）% to （19.70± 3.35）%, the utilization ratio of injection decreased from （22.60 ± 3.21）% to （13.20± 1.95）%. There were 147 irrational drug use prescriptions before intervention and 52 after intervention. The number of over-dose outpatient prescription without special condition decreased from 41 to 18. The number of antibiotics prescription without complying with regulation decreased from 32 to 6. The number of prescription with unsuitable usage and dosage decreased from 22 to 12. CONCLUSION： Standardized prescription comment significantly improves the quality of outpatient and emergency prescription in our hospital.