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目的:通过对门诊处方用药情况分析,促进临床合理用药,保证医疗安全。方法:按照《处方管理办法》、《医院处方点评管理规范(试行)》、《医院抗生素分级管理目录》中的要求,抽查我院2014年和2015年门诊处方共7200张,对不规范处方、用药不适宜处方和基本指标情况进行归类,分析不合理处方存在问题。结果:平均每张处方用药品种数1.89,抗菌药物使用率为24.54%,注射剂使用率为47.54%,平均每张处方金额为82.90元,不合理处方为315张,处方合格率为95.63%。结论:在不断加强对处方质量书写和用药合理的监督中,门诊处方质量及合理用药情况有改善,但还存在一些问题仍需进一步加强管理。
OBJECTIVE: To promote clinical rational use of drugs and ensure medical safety through analysis of outpatient prescription medication. Methods: A total of 7,200 outpatient prescriptions in our hospital in 2014 and 2015 were randomly selected according to the prescription management approach, the norms of management of hospital prescription reviews (for trial implementation) and the catalog of hospital antibiotics classification management, Medication is not suitable for prescriptions and basic indicators of classification, analysis of unreasonable prescription problems. Results: The average dosage of prescription drugs per prescription was 1.89, the antibacterial usage rate was 24.54%, the injection usage rate was 47.54%, the average prescription cost per prescription was 82.90 yuan, and 315 unreasonable prescriptions, the prescription pass rate was 95.63%. Conclusion: In the process of continuously improving the quality control of prescriptions and rational drug use, the outpatient prescription quality and rational drug use have been improved. However, some problems still need to be further strengthened.