我院2017年1～6月门诊处方点评与分析

彭燕琼

[摘要]目的 点评与分析我院的门诊处方，了解我院门诊处方的质量及用药情况，促进临床合理用药。方法 采用回顾性分析法对我院2017年1～6月门诊的全部处方进行點评，利用Excel软件对处方的基本情况与存在的不合理情况进行分析。结果 我院2017年1～6月门诊处方共229 579张，平均处方金额为104.47元，药品通用名使用率为100.00%，抗菌药物使用率为23.70%，静脉使用抗菌药物使用率为6.67%，处方平均用药品种数为3.61种。其中合理处方229 433张，处方合理率为99.94%。146张不合理处方中，不规范处方25张（占17.12%），用药不适宜处方121张（占82.88%），超常处方0张。结论 我院门诊处方合理率较高，但仍存在不合理处方，应继续坚持并完善处方点评制度，提高处方质量，进一步促进临床合理用药，保障患者的用药安全。

[关键词]门诊处方；点评与分析；不合理处方；提高处方质量；促进合理用药

[中图分类号] R969.3 [文献标识码] A [文章编号] 1674-4721（2018）5（b）-0126-03

Review and analysis of outpatient prescriptions in our hospital from January to June in 2017

PENG Yan-qiong

Department of Pharmacy，Maternal and Child Health Care Center for Family Planning Service in Yunfu City，Guangdong Province，Yunfu 527300，China

[Abstract]Objective To know the quality and medication situation of outpatient prescriptions in our hospital and promote rational drug use in clinic through the comment and analysis of outpatient prescriptions.Methods The outpatient prescriptions during January to June in 2017 were reviewed by retrospective analysis.The basic situation and unreasonable situation of the prescription were analyzed by using Excel software.Results A total of 229 579 outpatient prescriptions during January to June in 2017 were extracted.The average amount of the prescriptions were 104.47 yuan，the use rate of the generic name of the drug was 100.00%，the rate of antibiotic usage was 23.70%，the application rate of antibiotics for intravenous use was 6.67% and the average drug use categories in outpatient prescriptions were 3.61 kinds.There were 229 433 reasonable prescriptions，and the rational rate of prescription was 99.94%.Of the 146 irrational prescriptions，25 were nonstandard （17.12%），121 were inappropriate （82.88%），and 0 were abnormal.Conclusion The rational rate of outpatient prescriptions in our hospital is high，but there are still unreasonable prescriptions.The hospital should continue to adhere to and improve the prescription evaluation system，improve the quality of the prescription，further promote the clinical rational use of drugs，and ensure the safety of the patients.

[Key words]Outpatient prescription；Comment and analysis；Irrational prescriptions；Improve the quality of prescriptions；Promote rational use of drugs

处方是医院临床医务工作中的重要文件，其合理率可在一定程度上反映医师的业务素质和医院的总体医疗水平，也是反映医院质量管理高低的标准之一[1]。处方点评是医院管理系统用于监控管理药品使用，规范处方质量的有效方式之一。自从2010年原卫生部发布《医院处方点评管理规范（试行）》以来，我院积极响应要求，制定新的处方点评制度，对处方点评工作提出了规范化要求。在处方点评中发现存在的或潜在的问题，制定并实施合理有效的针对措施或干预措施，以提高处方质量、促进合理用药、保障医疗安全[2]。……