我院儿科门诊抗病毒药物处方点评与分析

Review and Analysis of Pediatric Outpatient Antiviral Prescriptions in Our Hospital

目的:为促进处方规范和抗病毒药物合理使用提供参考。方法:随机抽取我院儿科门诊2014年1-8月抗病毒药物处方1 600张,按照国家和我院制定的相关规定,对所选处方进行点评与分析。结果:1 600张处方中,不合理处方244张(15.25%)。各类不合理处方数及其构成比依次为:书写不规范处方127张(52.05%)、用药不适宜处方105张(43.03%)、超常处方12张(4.92%)。经过点评干预,不合理率从21%(2014年1月)降至11%(2014年8月)。结论:处方点评可提升儿科抗病毒药物处方合格率,改善临床用药合理性。我院儿科门诊抗病毒药物处方合格率还不理想,持续改进工作仍需加强。

OBJECTIVE： To provide reference for promoting prescription standard and rational use of antiviral drugs. METH- ODS： A total of 1 600 antiviral prescriptions were randomly screened from pediatric outpatient department of our hospital during Jan. to Aug. 2014. Selected prescriptions were reviewed and analyzed according to national regulations and hospital regulations. RE- SULTS： Among 1 600 prescriptions, there were 244 irrational prescriptions （15.25%）. The number and constituent ratio of irratio- nal prescriptions were as follows： 127 prescriptions of non-standard writing （52.05%）, 105 of unsuitable drug use （43.03%） and 12 supernormal prescriptions （4.92%）. After prescription evaluation, the percentage of irrational prescriptions were decreased from 21% （Jan. 2014） to 11% （Aug. 2014）. CONCLUSIONS： Prescription review can promote qualification rate of pediatric antiviral prescriptions, and improve rationality of clinical drug use. It is necessary to improve rational use of antiviral drugs continuously due to unsatisfactory qualification rate.