开封市妇幼保健院门诊处方点评与合理用药分析

Reviews of the Outpatient Prescriptions and Analysis of the Rational Drug Use in Kaifeng Maternity and Children Health Hospital

目的:根据《处方管理办法》中处方评价表,点评门诊处方规范性,提高合理用药水平。方法:随机抽取开封市妇幼保健院2011—2013年第4季度门诊处方,共计1 800张,按照《医院处方点评管理规范(试行)》进行处方点评,并作评价与分析。结果:该院2011年第4季度、2012年第4季度、2013年第4季度每张处方平均用药数分别为2.42种、2.38种、2.32种,抗菌药物使用率分别为45.50%、35.83%、27.33%;注射剂使用率分别为40.17%、31.17%、26.33%;基本药物使用率分别为61.58%、65.59%、72.25%;药品通用名使用率分别为99.70%、99.75%、99.86%;处方平均金额分别为86.77元、76.35元,64.50元;药占比分别为45.71%、32.62%、28.63%;处方合理率分别为92.17%、93.33%、95.67%。结论:通过门诊处方点评,处方质量明显改善,合理用药水平得到提高,从而保障医疗安全。

OBJECTIVE：To review the outpatient prescription in accordance with ： Prescription Management Method： so as to improve the level of rational use of drug. METHODS： A total of 1 800 outpatient prescriptions randomly collected in Kaifeng Maternity and Children Health Hospital in the fourth quarter during 2011-2013 were reviewed, evaluated and analyzed in accordance with ＂Hospital Prescription Review Management Practices （Trial）＂ RESULTS ： In the forth quarter of 2011, 2012 and 2013, and average of 2.42, 2.38 and 2. 32 drugs were prescribed per prescription, with antibiotic use prescribed in 45.50% , 35.83% and 27.33% , injections prescribed in 40. 17% , 31.17% and 26.33% , essential drugs prescribed in 61.58% , 65.59% and 72.25% , generic drug name use in 99.70%, 99.75%, 99. 86% average drug cost per prescription of 86.77 yuan, 76.35 yuan, 64.50 yuan, component ratio of 45.71%, 32.62% , 28.63% in terms of outpatient drug consumption sum in the total, rate of rational prescriptions of 92. 17%, 93.33% and 95.67% , respectively. CONCLUSION： Through review on the outpatient prescriptions, both the quality of prescriptions and the rational level of drug use have been improved significantly, which can help ensure medication safety.