31219张门诊处方质量分析

Quality Analysis on 31 219 Outpatient Prescriptions

目的:了解株洲市人民医院门诊处方质量现状及存在的问题。方法:以2011年1—7月门诊处方共31 219张为研究对象进行分析,将不合理处方按不规范处方、用药不适宜处方、超常处方3种类型进行统计、分析。结果:31 219张处方中合理处方25 978张(占83.21%);不合理处方5 241张(占16.79%)。不合理频次共6 067次,其中不规范处方频次为4 126次(占68.01%);用药不适宜处方频次为1 273次(占20.98%);超常处方频次为668次(占11.01%)。结论:门诊处方质量亟待提高,规范处方书写及提高以抗生素为重点的合理用药水平为提高处方质量的关键。

OBJECTIVE：To probe into the quality of the outpatient prescriptions in Zhuzhou Municipal People＇s Hospital and the problems encountered.METHODS： A total of 31 219 outpatient prescriptions during January-July period of 2011 in this hospital were analyzed statistically with regard to the non-standard prescriptions,inappropriate medication prescriptions,and off-label use prescriptions.RESULTS： Of the total 31 219 prescriptions,25 978（83.21%） were rational versus 5 241（16.79%） irrational prescriptions.The frequency of irrationality totaled 6 067 times,of which,with 4 126（68.01%） non-standard prescriptions,1 273（20.98%） inappropriate medication prescriptions and 668 times（11.01%） off-label use prescriptions.CONCLUSION： It is urgent to improve the quality of outpatient prescriptions.To improve the prescription quality,it is fundamental to standardize the prescription writing and improve the rational drug use with an emphasis laid on the use of antibiotics.