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目的分析某院门诊处方点评及用药合理性。方法随机抽取某院门诊2015年处方3000张,依据处方点评基本指标及不合理用药项目填写表格,分析2015年各季度院门诊处方基本指标、不合理处方发生率。结果平均每张处方药物品种为4种;注射剂使用率由第1季度的24.16%下降到第4季度的21.14%;抗菌药物使用率从15.28%降至11.05%;国家基本药物使用率为64.78%。第1、2、3、4季度不合理处方率分别为3.47%、3.20%、2.40%、2.13%,第4季度较第1季度,不合理处方率下降38.62%。结论开展处方点评工作能够加强处方监管工作,可有效降低不合理处方率。
Objective To analyze the outpatient prescriptions in a hospital and its rationality. Methods A total of 3000 prescriptions in 2015 from a hospital outpatient department were randomly selected. Based on the basic indicators of prescription reviews and the form of unreasonable drug use items, the basic indicators of hospital outpatient prescriptions and the incidence of unreasonable prescriptions in each quarter of 2015 were analyzed. The results showed that on average, there were 4 kinds of prescription drugs per prescription; the injections utilization rate dropped from 24.16% in the first quarter to 21.14% in the fourth quarter; the antimicrobial usage dropped from 15.28% to 11.05%; the utilization rate of the national essential drugs was 64.78% . The unqualified prescription rates in the first, second, third and fourth quarters were 3.47%, 3.20%, 2.40% and 2.13% respectively. In the fourth quarter, the unimportant prescription rate dropped 38.62% from the first quarter. Conclusion The prescription reviews can strengthen prescription supervision, which can effectively reduce the unreasonable prescription rate.