开展处方点评对门诊与急诊处方合理性的影响

Influence of prescription review on the rationality of outpatient and emergency prescriptions

目的探讨处方点评对门诊与急诊处方合理性的影响。方法选取2017年1月~2018年12月济南市儿童医院收治的1000例门诊与急诊患者处方资料为研究对象,均具备齐全的临床资料。将2017年1~12月收治的500例门诊与急诊患者的临床资料为对照组(未实施处方点评干预),将2018年1~12月收治的500例门诊与急诊患者的临床资料为研究组(已实施处方点评干预)。参考《处方管理办法》中相关规定内容进行监督与评价处方点评,用SPSS 20.0统计学软件分析点评,以分析处方合理性。结果研究组的用药不适宜处方类型比率为1.20%,低于对照组(3.60%),差异有统计学意义(P<0.05);研究组的门诊不规范处方比率为2.60%,低于对照组(8.00%),差异有统计学意义(P<0.05)。结论开展处方点评,有助于提升医疗机构用药合理率,通过使用相应点评软件,利于提升点评手段应用效率,而提高处方合理性,需不断加强处方书写的规范化。

Objective To explore the influence of prescription review on the rationality of outpatient and emergency prescriptions.Methods The prescription data of 1000 outpatients and emergency patients from January 2017 to December 2018 were selected as the research objects,all of which had complete clinical data.Among them,the clinical data of 500 outpatients and emergency patients admitted from January to December 2017 were taken as the control group(without prescription comment intervention),and the clinical data of 500 outpatients and emergency patients admitted from January to December 2018 were taken as the study group(with prescription comment intervention implemented).The relevant provisions in the Prescription Management Measures was referred,to supervise and evaluate the prescription review,and analyze the review with SPSS 20.0 statistical software to analyze the rationality of the prescription.Results The proportion of inappropriate prescription type in the study group was 1.20%,which was lower than that in the control group(3.60%),the difference was statistically significant(P<0.05).The rate of irregular prescriptions in the study group was 2.60%,which was lower than that in the control group(8.00%),the difference was statistically significant(P<0.05).Conclusion The implementation of prescription review can help to improve the rational rate of drug use in medical institutions.Through the use of the corresponding review software,it can help to improve the efficiency of the application of review methods,so as to improve the rationality of prescription.At the same time,it is necessary to strengthen the standardization of prescription writing.