我院6000份处方点评分析

Analysis of 6000 Prescriptions Comments in Our Hospital

目的:了解我院近期门急诊以及住院医嘱书写质量。方法:随机抽取我院总院2013年1-10月每月门急诊300张处方、住院医嘱300张处方进行点评分析,对自2013年6月起使用电子处方后的改观情况进行评价。结果:使用电子处方前我院门诊处方和住院医嘱处方的合理率分别为76.81%和84.71%;使用电子处方后,门急诊和住院医嘱合理率分别为83.54%和86.18%,均较之前有所提高。结论:电子处方虽然可以提高处方合理率,但我们仍然有必要在提高药师审方能力和与医师交流沟通的同时,加强医师相关的业务水平,加大医院的管理力度。

OBJECTIVE： To realize the quality of outpatient, emergency and inpatient prescription writing in our hospital. METHODS： 300 prescriptions were randomly selected from outpatient and emergency departments of our hospital every month, and then 300 inpatient prescriptions were evaluated every month. The change of it after using electronic prescription since June, 2013 was evaluated. RESULTS： Before using the electronic prescription, reasonable outpatient prescription and inpatient prescription accounted for 76.81% and 84.71% in our hospital, respectively; after using electronic prescriptions, reasonable outpatient and emergency prescription and inpatient prescription accounted for 83.54% and 86.18%, respectively, which were higher than before. CONCLUSIONS： Although electronic prescription can improve the percentage of reasonable prescription, it is still necessary to improve the ability of prescription comments of pharmacists and the communication with the doctors; at the same time, we should strengthen the relevant professional skill of doctors and the management of the hospital.