我院抗菌药物处方点评模式建立和药师作用分析

Establishment of Antibiotic Prescription Evaluation Model and the Role of Pharmacist in Prescription Evaluation

目的通过对3年处方点评结果的分析,来考察我院处方点评模式的效果及药师在处方点评中的作用和价值。方法分别对2013年1月~2015年2月纸质处方及2015年3~12月软件抽查处方的点评结果进行分析。结果 2013~2015年处方点评合格率分别为91.6%、96.5%和99.1%,工作组和专家组处方点评结果的一致性分别为88.6%、89.3%和97.9%,不合理处方类型的种类减少,从2013年的6种减少到2015年的3种。结论我院抗菌药物处方点评模式成功地完成了从抽查纸质处方到使用软件抽查处方的转型,实现了应用数字化信息系统进行点评的模式。由药师组成的工作组与专家组点评结果的一致性逐渐提高,处方合格率显著提高,充分体现了药师的专业水平,促进了抗菌药物的合理使用。

OBJECTIVE To evaluate the effects of prescription evaluation system and the role of pharmacists through the analysis of the results of antibiotic prescription evaluation. METHODS Random results evaluation analysis based on the results of prescription evaluation in paper during January 2013 to February 2015 and comments of software analysis during March to December 2015. RESULTS The qualification rates of prescription are respectively 91.6% ,96. 5% and 99. 1% during 2013 - 2015 and the consistency of pharmacists and experts are respectively 88. 6% ,89.3% , 97.9% , the types of unqualified prescription decrease. CONCLUSION The evaluation system of antimicrobial agents prescription has accomplished transition from random evaluation of paper prescription evaluation to software ones, which fulfills the mode of prescription evaluation by information techniques . The improving consistency of pharmacists and experts indicates the professional standards of pharmacists .