2014年门诊处方与合理用药分析

2014 Outpatient Prescription Drugs and Rational Analysis

目的探讨2014年医院门诊处方,了解合理用药情况。方法随机抽查沈阳医学院附属第二医院2014年门诊处方1200张,对其进行点评分析。结果随机抽取的1200张门诊处方中,平均每张处方用药品种数、抗菌药使用百分率、注射剂使用百分率、国家基本药物占处方用药的百分率、药品通用名占处方用药的百分率均符合指标要求;而平均每张处方金额较高;合理处方百分率不符合国家大于95%的要求。不合理处方总数为95张,处方不合理率为7.9%。其中用法用量不适宜和临床诊断书写不全是最常见的不合理处方类型。结论做好处方点评,加强处方质量,能提高医院门诊的合理用药水平。

Objective To investigate the 2014 hospital outpatient prescriptions, understand rational drug use. Methods Random checks of Shenyang Medical Second Affiliated Hospital outpatient prescriptions in 2014 1200, review its analysis.Results A random sample of 1200 outpatient prescriptions,the average number of species per prescription medication,antibiotic use percentage,an injection percentage,the percentage of national essential drug prescription medication,generic drugs accounted for the percentage of prescriptions are in line with the indicator; the average a higher amount per prescription;rational prescribing percentage greater than 95% do not meet national requirements.The total number of prescriptions for 95 unreasonable,irrational prescription rate of 7.9%. Dosage where inappropriate and clinical diagnostic writing unreasonable failure is the most common type of prescription.Conclusion Prescription good reviews,strengthen quality prescription can improve the level of rational drug outpatient.