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目的对永安市立医院门诊超说明书用药情况进行调查分析并进行管理优化干预,为规范超说明书用药提供依据。方法收集开展干预前(2014年1~6月)和干预后(2016年1~6月)门诊处方各3 000张,对超说明书用药情况进行判断、系统评价并进行干预,对比干预前后超说明书用药发生率,评价干预效果。结果干预前超说明书用药发生率7.4%(222/3 000),干预后发生率降到2.7%(82/3 000);超说明书用药类型以超适应症、超给药途径、超给药频次减少较多;各科室不合理超说明书用药情况均明显减少。结论对超说明书用药积极干预取得良好效果,可提高临床合理用药水平,保证患者用药安全。
OBJECTIVE To investigate and analyze the use of drugs in the outpatient department of Yong’an Municipal Hospital and to optimize the intervention by management to provide the basis for regulating the use of drugs in the super manual. Methods Before the intervention (January to June, 2014) and after intervention (from January to June, 2016), 3 000 outpatient prescriptions were collected respectively. The medication condition of the super instruction manual was evaluated, evaluated systematically and intervened. Medication incidence, evaluate the effect of intervention. Results Before intervention, the rate of super instruction was 7.4% (222/3 000), and the incidence of intervention was reduced to 2.7% (82/3 000) after intervention. The type of super instruction was hyper-indications, super-administration route and super-administration frequency Reduce more; various departments of super-manual instructions were significantly reduced medication. Conclusion Super manual positive intervention with medication to achieve good results, can improve the clinical reasonable level of medication to ensure patient medication safety.