干预前后医院门急诊抗菌药物处方点评及分析

Evaluation and Analysis on Outpatient and Emergency Antibacterial Drug Prescriptions before and after Intervention Measures in the Hospital

目的分析医院门急诊抗菌药物不合理处方,评价抗菌药物处方点评与干预措施实施效果。方法随机抽取医院2014年5月至12月(干预前)门急诊抗菌药物处方3 500张及2015年1月至12月(干预后)抗菌药物处方6 000张进行点评。结果医院门急诊抗菌药物使用率由干预前的15.45%下降至13.95%;门急诊抗菌药物处方不合格率从干预前的28.89%下降至18.87%;主要存在问题,如无指征使用抗菌药物占不合理处方比例由干预前的11.47%下降至5.48%。结论通过持续的处方点评、干预,质量持续改进,医院门急诊抗菌药物合理使用水平得到了极大提高,仍需进一步加强管理。

Objective To analyze the unreasonable prescriptions of outpatient and emergency antibacterial drug and to evaluate the effect of the management on prescription and the implementation of interventions measures.Methods 3 500 outpatient and emergency antibiotics prescriptions from May 2014 to December 2014 and 6 000 outpatient and emergency antibiotics prescriptions from January 2015 to December 2015 in the hospital were randomly selected as the data before and after intervention,and then evaluation on prescription was in progress.Results After intervention,the use rate of antibacterial drug was dropped from 15.45%to 13.95%;the failure rate of antibiotic prescriptions decreased significantly from 28.89%to 18.87%;the rate of the main existing problems,such as no indications use of antimicrobial agents fell from 11.47%to 5.48%of all unreasonable prescriptions.Conclusion Through continuous prescription reviews and intervention,the quality of outpatient and emergency antibiotic prescriptions has been greatly improved and the level of ratio —nal use of antimicrobial drugs has been enhanced.However,the problem still exists and the management should be further strengthened.