我院2012年6月全院处方点评情况及结果

The prescription comment and analysis of results of our hospital in June 2012.

目的通过对全院处方进行标准化点评,并对点评结果予以统计分析,促进临床合理用药。方法随机抽取门诊、急诊、住院药房2012年6月普通处方3600张,进行标准化处方点评,并对处方点评结果予以统计分析。结果有511张处方存在不合理用药现象,占14.20%。其中,超常处方63张,占1.75%;用药不适宜处方24张,占0.67%;不规范处方424张,占11.78%。处方合格率85.81%;平均每张处方金额达215.97元,金额较大。结论不规范处方数较多,超常处方问题突出,处方金额较大,处方合格率有待提高,应用抗菌药物情况较严重,应加强《处方管理办法》和《抗菌药物临床应用管理办法》的培训和学习。

Objective To comment standardly and analyze prescriptions of the whole hospital, so as to promote rational clinical use of drugs. Methods We extracted 3600 ordinary prescriptions randomly from the pharmacies of outpatient, emergency and inpatient in June 2012, which were commented and statistically analyzed. Results 511 prescriptions had irrational drug use, accounting for 14. 20% （ including 63 extraordinary prescriptions, accounting for 1.75% ; 24 inappropriate prescription, account- ing for 0. 67% ; 424 non-standard prescription, accounting for 11.78% ）. The rate of qualified prescription is 85.81%. The aver- age cost per prescription was ~ 215.97, which is too much. Conclusion There are a lot of non-standard prescriptions, and the problem of extraordinary prescriptions is serious. The cost per prescription is expensive. Qualified rate of prescriptions needs to be improved and the application of antibiotics is in serious condition. So we should strengthen the training and learning of the Pre- scription Management and the Clinical Use of Antibiotics Management Approach.