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目的通过不合格处方分析,了解二甲医院执行《处方管理办法(试行)》、《抗菌药物临床应用指导原则》的情况,为进一步规范医疗行为,保障医疗安全提供依据。方法随机抽取二甲医院2008年1月至9月门诊处方2617张,根据卫生部《处方管理办法(试行)》、《抗菌药物临床应用指导原则》,对处方的格式、书写规范、合理用药、抗菌药物的使用情况等几个方面进行评价分析。结果不合格处方共177张,其中处方格式、书写不规范处方109张,占不合格处方的61.6%,不合理用药处方68张,占不合格处方的38.4%,抗菌药物的处方数793张,使用率30.3%。结论医生执行《处方管理办法(试行)》、《抗菌药物临床应用指导原则》情况较好,但仍需要加强管理和学习,不断提高业务能力和认识,确实保障患者的医疗有效安全。
Objective To understand the implementation of “prescription management approach” (Trial) and “Guiding Principles of Clinical Application of Antibacterial Drugs” in the Second Hospital from the analysis of unqualified prescriptions, so as to provide basis for further regulating medical behaviors and ensuring medical safety. Methods A total of 2617 outpatient prescriptions were collected from January to September 2008 in the Second Hospital of the People’s Republic of China. According to the prescriptions of the Ministry of Public Health (Trial) and the Guiding Principles of Clinical Application of Antibiotics, the format, Antibacterial use of several aspects such as evaluation analysis. As a result, there were 177 unqualified prescriptions, including 109 prescriptions of non-standard prescriptions, accounting for 61.6% of unqualified prescriptions, 68 unreasonable prescriptions, accounting for 38.4% of unqualified prescriptions, 793 prescriptions of antibacterials, The usage rate is 30.3%. Conclusion Doctors practice the “prescription management approach” (Trial) “,” Guiding Principles of Clinical Application of Antibacterial Drugs "is better, but still need to strengthen management and learning, and continuously improve their business skills and awareness, and indeed ensure the patient’s medical effective and safe.