论文部分内容阅读
目的统计分析某院门诊处方的使用情况以及处方不合理用药情况,总结原因并探讨解决方案。方法回顾性选择某院2012—2013年度门诊处方,随机抽取每月350张,每年度4 200张,统计每张处方平均用药种类数、基本用药占比、注射剂占比、抗菌药占比、使用通用名占比、准确了解药物占比、发药交代时间长短以及每张处方平均金额等情况,分析不合理用药情况与原因,并提出对策。结果 2012年度不合理129张(3.07%)与2013年度118张(2.81%),无明显差异(P>0.05),处方不合理用药情况相似,主要是存在药物选择、药物联用、重复用药以及药物使用方法四方面上的不合理,而其中药物联用不合理占据比例最高。结论某院门诊处方用药基本合理,但仍需加强处方用药管理,规范制度,提高医务人员专业素质,保障健康、安全、合理用药。
Objective To analyze and analyze the usage of prescriptions in a hospital and the irrational prescriptions of prescriptions, summarize the reasons and discuss the solutions. Methods A retrospective study was conducted to choose outpatient prescriptions in 2012-2013 in a hospital. 350 samples per month and 4 200 samples per year were randomly selected. The average number of medications per prescription, the proportion of basic medications, the proportion of injectable medications, the proportion of antimicrobial medications, Accounting for the proportion of common name, accurate understanding of the proportion of drugs, drug delivery account for the length of time and the average amount of each prescription, etc., to analyze the situation and causes of irrational use of drugs, and propose countermeasures. Results There were no significant differences (P> 0.05) between 129 unreasonable cases in 2012 (3.07%) and 118 cases (2.81%) in 2013. The irrational prescriptions were mainly drug choice, drug combination, repeated medication and Four aspects of drug use unreasonable, of which the combination of unreasonable drug use the highest proportion. Conclusion The outpatient prescriptions in a hospital are basically reasonable. However, there is still a need to strengthen the administration and standardization of prescriptions, improve the professional qualities of medical personnel, and ensure the health, safety and rational use of drugs.