2011-2013年青浦区公立医疗机构处方点评分析

Analysis of prescription and medication in public medical institutions of Qingpu District during 2011-2013

目的:了解本区公立医疗机构门急诊处方质量,促进临床合理用药。方法:对本区13家公立医疗机构2011-2013年门急诊处方点评基本数据进行分类统计与综合分析。结果:公立医疗机构门急诊处方书写较规范。平均每张处方用药品种数2.26种;注射剂使用占比为13.26%,药品通用名占处方之比为100%;抗菌药的使用率2013年较2011年下降了7.21%;合理处方合格率提升至94.60%;二级医疗机构基本药物使用率逐年上升。但也存在开具的处方未见临床诊断或临床诊断书写不全者、处方书写不规范以及门诊处方超过规定用量等现象。结论:通过处方点评及干预措施,青浦区公立医疗机构门急诊处方合理用药比例显著提高,但仍有不合理处方存在,还需持续改进。

Objective： To understand the quality of prescription in outpatient and emergency service in the public medical institutions of Qingpu distract so as to promote the clinical rational use of drug. Methods： The basic data on the reviews of outpatient and emergency prescription issued in 13 public medical institutions of Qingpu district during 2011-2013 were statistically classified and comprehensively analyzed. Results： These prescriptions were normatively written with average 2.26 different kinds of drugs in each, in which the use of injection accounted for 13.26% and the generic drugs 100%. The use of antimicrobials in 2013 decreased by 7.21% compared with that in 2011 while the proportion of reasonable prescription increased to 94.60%. The rate of the use of essential drugs increased year by year in secondary hospitals. However, there still exist the phenomena in prescription writing, such as without clinical diagnosis or with incomplete clinical diagnosis, the nonstandard handwriting and exceeding the prescribed prescription. Conclusion： The proportion of rational use of drug in outpatient and emergency prescription in the public medical institutions of Qingpu distract is remarkably enhanced by prescription comments and intervening measures, however, there still exist unreasonable prescriptions, which need to be continuously improved.