山西医科大学第二医院门诊西药房处方点评及不合理处方分析

Evaluation of Prescriptions of Outpatient Western Pharmacy and Analysis of Unreasonable Prescriptions in Second Hospital of Shanxi Medical University

目的:抽查并点评山西医科大学第二医院2016年1-12月门诊处方,对不合理处方进行分析,了解门诊患者处方用药的基本情况。方法:采用回顾性分析方法,对我院抽查处方进行用药品种、注射剂使用率、抗菌药物使用率等统计分析。结果:共抽查处方6000张,门诊人均用药品种数为1.7,抗菌药物使用率6%,注射剂使用率23%,国家基本药物使用率32%,通用名使用率为100%;平均每张处方费用为266元。平均处方合格率为92%。结论:药师定期进行处方点评,对不合理处方提出质量改进建议,通过相应行政与技术干预措施可有效减少处方不合理现象。目前我院门诊处方合格率与相关要求尚有一定差距,应加强对医护人员合理用药宣传,加强对处方质量和门诊用药管理,保障临床用药安全。

Objective： To randomly check and evaluate outpatient prescriptions in the Second Hospital of Shanxi Medical University from January, 2016 to December, 2016 and to analyze the unreasonable prescriptions to understand the basic situation of outpatient prescription drugs. Methods： A retrospective analysis method was used to carry out the statistical analysis of the following aspects, such as the varieties of drugs, the percentage of antibiotics, the percentage of injections, etc. Results： A total of 6000 prescriptions were randomly selected. The average drug number per capita was 1.7. The usage rate of antibiotics was 6%; The usage rate of injections was 23%; The usage rate of essential medicines was 32%; The usage rate of common names was 100%; The average cost of the prescriptions was 266 Yuan; The average pass rate of the prescriptions was 92%. Conclusion： The prescriptions were evaluated by pharmacists on regular basis and quality improvement suggestions for unreasonable prescriptions were put forward. Unreasonable prescriptions will be effectively reduced through corresponding administrative and technical interventions. At present, there is a certain gap between the pass rate of the outpatient prescriptions in our hospital and the relevant requirements. Medical staff should be educated to promote rational drug use. The quality of outpatient prescriptions and management of outpatient medication should be strengthened to ensure the clinical drug safety.