杭州市儿童医院2016年门急诊处方点评分析

Review and Analysis on Outpatient and Emergency Prescriptions in Hangzhou Children's Hospital in 2016

目的:采用多种处方点评模式对我院门急诊处方进行点评与分析,从而促进儿童安全合理用药。方法:应用人工点评结合合理用药系统,对儿童门急诊不合理处方进行实时警示、拦截,分析不合理处方类型及原因,积极制定相应对策进行干预。结果:2016年度合理用药系统全处方点评总合格率为98.97%,其中超常处方占5.18%,用药不适宜处方占94.82%。人工点评总合格率为98.13%,其中不规范处方占1.20%,超常处方占11.52%,不适宜处方占87.27%。专项点评抗菌药物合格率98.24%,微生态制剂合格率95.70%。结论:人工处方点评结合计算机技术是临床药物治疗的有效监管手段,有助于实现用药合理化。

Objective： To evaluate and analyze the outpatient and emergency prescriptions through multiple prescription review models,so as to promote the safe and rational medication for children. Methods： Manual review combined with rational medication system were used for real-time warning and interception of irrational outpatient and emergency prescriptions in children. Irrational types and causes of prescriptions were analyzed,and countermeasures were actively formulated to conduct the intervention. Results： The total pass rate of prescriptions in 2016 was 98.97%,including 5.18% of supernormal prescriptions and 94.82% of inappropriate prescriptions. The total pass rate of manual review was 98. 13%,including 1. 20% of non-standard prescriptions,11. 52% of supernormal prescriptions and87. 27% of inappropriate prescriptions. The qualified rate of antibacterial drugs was 98. 24%,and the qualified rate of probiotics was95. 70%. Conclusion： Manual prescription review combined with computer technology is an effective monitoring approach for clinical drug treatment,which helps to rationalize medication.