全覆盖处方点评对门、急诊抗菌药物合理应用的影响

The full coverage prescription comment on the rational use of antibiotics in outpatient and emergency department

目的观察对门、急诊所有抗菌药物处方进行全覆盖大样本量的点评对医院抗菌药物合理用药影响。方法对门、急诊所有抗菌药物处方进行点评,本文通过实践前后对照的方法,将点评模式优化前(2022年)、优化后(2023年)的点评结果即不合格率进行比较和统计学处理,计数资料采用χ2检验。结果对比优化前,门急诊抗菌药物处方不合格率进一步降低。2023年与2022年相比明显降低,差异有统计学意义(P<0.05)。结论通过全覆盖处方点评、人工点评结合软件点评、学术交流和行政干预并行等措施可显著降低抗菌药物处方不合格率,持续改进不合理用药现象。

Objective This research observed the impact of a comprehensive review of all antibiotic prescriptions in the outpatient and emergency departments on the rational use of antibiotics in the hospital.Methods By reviewing all antibiotic prescriptions in the outpatient and emergency departments,this study compared the noncompliance rates before optimization(in 2022)and after optimization(in 2023)of the review model using a method of practical comparison before and after optimization.Count data were analyzed using theχ2 test.Results Compared with the pre-optimization period,the non-compliance rate of antibiotic prescriptions in the outpatient and emergency departments further decreased.In 2023,it was significantly lower compared to 2022,with statistical significance(P<0.05).Conclusion Through measures such as comprehensive prescription review,manual review combined with software review,academic communication,and administrative intervention,the non-compliance rate of antibiotic prescriptions could be significantly reduced,continuously improving the phenomenon of irrational drug use.