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目的:研究处方点评对医院门诊处方用药合理性评价指标的影响。方法:选择2015年每季度门诊处方1200张,共4800张,对处方点评结果进行对比研究,内容包括用药合理性、处方用药问题分类、用药问题相关药品分类等。结果:采用处方点评的方法,有效的改善了门诊处方用药合理性评价指标中的部分内容,但对配伍禁忌、用法用量、药品选种、注射剂使用率、抗菌药物使用率等没有显著影响。结论:采用处方点评的方法进行分析评价,能够及时发现医院门诊处方用药合理性评价中的问题和不足,对医疗质量管理、用药质量管理进行完善,取得更好的治疗效果。
Objective: To study the impact of prescription reviews on the rationality of prescriptions in outpatient clinics. Methods: A total of 1,200 outpatient prescriptions per day were selected in 2015, with a total of 4800 prescriptions. The results of the prescription reviews were compared and analyzed, including rationality of medication, classification of prescription medication problems, and classification of medication related issues. Results: The method of prescription review effectively improved the rational contents of outpatient prescriptions, but had no significant effect on incompatibility, usage, drug selection, injections and antibiotics usage. Conclusion: Using the method of prescription review for analysis and appraisal, we can discover the problems and shortcomings in rationality evaluation of outpatient prescriptions in time and improve the quality management of medical treatment and medication quality and achieve better therapeutic effect.