2012—2013年该院门诊处方点评及合理用药分析

Review of the Outpatient Prescriptions and Analysis of the Rational Use of Drugs in The Second People's Hospital of Yunnan Province from 2012 to 2013

目的通过对门诊处方进行点评和用药分析,以提高处方质量,促进合理用药。方法随机抽取2012年1月—2013年12月门诊处方共36 000张,按处方点评指标进行点评及分析。结果合理处方占比由93.89%上升到97.80%,每张处方平均用药品种数由3.12种降为2.27种,抗菌药物使用率控制较好为17.91%和14.29%,注射剂使用率由24.5%降至20.31%,国家基本药物品种使用率由9.14%上升到10.32%,不合理用药比例由6.11%降至2.20%。不合理处方主要为不规范处方,用药不适宜处方,2013年未发现超常用药处方。结论门诊处方合格率较高,合理用药国际指标大多控制较好。通过处方点评,可及时发现处方中不合理用药情况,提出合理的改进建议,从而提高合理用药水平。

Objective To comment the outpatient prescriptions and analyze the drug use so as to improve the quality of prescriptions and promote the rational use of drugs. Methods A total of 36000 prescriptions during 2012-2013 were randomly selected and commented and analyzed in accordance with the prescription review indicators. Results The proportion of reasonable prescriptions increased to 97.80% from 93.89%, the average drug varieties of each prescription decreased from 3.12 to 2.27, the usage of antimierobial drugs decreased from 17.91% to 14.29%, which showed it was controlled well, the injection using rate decreased from 24.5% to 20.31%, the utilization rate of the national essential drug varieties increased to 10.32% from 9.14%, the unreasonable medication rate deceased from 6.11% to 2.20%. The unreasonable prescriptions mainly were non-standard prescriptions and prescriptions of inappropriate use of drug. The prescriptions of abnormal drug use were not found in 2013. Conclusion The qualified rate of the outpatient prescriptions is high, and most international indicators of rational use of drugs are controlled well. By prescription review, the irrational use of drugs in prescriptions can be found timely, and rational suggestions can be put forward in order to improve the level of rational use of drugs.