处方点评工作前后处方质量及合理用药对比分析

Analysis of Prescription quality and Rational drug use before and after Prescriptions Comments

目的:总结开展处方点评工作的作用。方法:采用回顾性分析,随机抽取开展处方点评工作前后门诊处方各2000份,按照《处方管理办法》和《医院处方点评管理规范(试行)》进行审查并统计分析。结果:开展处方点评工作后,处方质量有较大的提高,处方书写不规范由79.3%下降为16.2%,不合理用药由63.9%下降为4.6%;抗菌药物使用百分率由68.4%下降为26.8%,注射剂使用百分率由32.8%下降为19.7%;平均每张处方用药品种数由(3.9±1.1)下降为(2.5±0.8),平均每张处方金额由(96.4±13.6)下降为(63.1±9.9);基本药物占处方用药的百分率由22.3%上升为56.4%,药品通用名占处方用药的百分率由42.8%上升为95%。上述各项指标对照组和点评组差异均有统计学意义(P<0.01)。结论:开展处方点评工作,有助于进一步提高处方质量和促进合理用药。

Objective： To analyze effects of prescriptions comments on the prescription quality and rational drug use Methods：2000 outpatient prescriptions were randomly selected before and after prescriptions comments,respectively and reviewed .The sampled prescriptions were ex- amined one by one and analyzed statistically according to Presciption Management Method and Hospital Prescription Comment Management Practice （trial）. Results： After prescriptions comments, the prescription quality improved significantly. Non-standard writing of prescription decreased from 79.3% to 16.2%. Irrational drug use decreased from 63.9% to 4.6%. The percentage of antimicrobial prescribed decreased from 68.4% to 26.8%. The percentage of injection prescribed decreased from 32.8% to 19.7%. The mean number of medications prescribed per prescription decreased from（3.9±1.1）to（2.5±0.8）. The mean costs per prescription decreased from （96.4±13.6）to（63.1±9.9）. The per- eentage of essential drugs prescribed increased from 22.3% to 56.4%.The percentage of medication common names increased from 42.8% to 95%. There were significant differences between both groups at the final evaluation（P〈0.01 ）.Conclusions： The prescriptions comments signifi- cantly improve prescription quality and promote rational drug use.