门急诊大处方干预效果研究

Intervention effect study of extraordinary prescription in outpatient and emergency departments

目的评价门急诊大处方干预效果。方法采集天津医科大学总医院滨海医院门急诊大处方干预前2017年7月门急诊处方44 236张,干预后2017年9月门急诊处方48 699张。通过信息改造、强化培训、行政处罚、药品调整等措施进行门急诊大处方干预,比较干预前后门急诊大处方前十位的科室、药品大处方变化情况。结果干预后大处方占比低于干预前(P<0.05);干预后门急诊大处方数量前十位的科室、药品大处方占比均低干预前(P<0.05)。结论门急诊大处方干预可有效降低门急诊大处方数量,并可降低全院药占比。

Objective To evaluate the intervention effect of extraordinary prescription in outpatient and emergency departments.Methods A total of 44 236 cases of extraordinary prescription in outpatient and emergency departments which were prior intervention were selected from July 2017 in Tianjin Medical University General Hospital,48 699 cases of extraordinary prescription in outpatient and emergency departments which after intervention were selected from September 2017.The intervention measures involved information construction,strengthening training,administrative punishment and drugs adjustment.The number of extraordinary prescription of top ten departments and drugs were compared.Results After intervention,the number of extraordinary prescription was lower than prior intervention（P〈0.05）;the number of top ten departments and drugs were lower than prior intervention（P〈0.05）.Conclusion Extraordinary prescription intervention in outpatient and emergency departments can effectively reduced the number of extraordinary prescription,meanwhile the drug proportion was also reduced.