实行处方点评前后我院门诊处方质量比较分析.doc

1000477——实行处方点评前后我院门诊处方质量比较分析王秀萍周军邓昌国谢志田倩倩兰州军区乌鲁木齐总医院药剂科，乌鲁木齐，830000 [摘要] 目的 比较分析本院实行处方点评制度前后门诊处方质量的变化，包括用药的合理性以及处方书写的合格率。方法 对2009年8、9月(处方点评前)及2010年1、2月间(处方点评后)本院门诊所有就诊患者处方进行抽查点评。由临床药师负责审查，将不合格处方筛选出来，分析不合格类型，并计算总的不合格处方比例、各专科的不合格处方比例、各种类型不合格处方所占的百分比，比较处方点评前后各比变化。结果实行处方点评制度后不合格处方率2.59 %，比实行处方点评制度前不合格处方率 21.43%明显减少(P0.01)。结论通过对医院不合格处方的审核工作，使每位医生都真正执行标准规范处方书写，促进临床合理用药。 [关键词] 处方点评；处方书写；比较分析；合理用药 Analysis on the Quality of Outpatient Prescription before and after the Implementation of Comment on Prescription Wiu-ping, ZHOU Jun, DENG Chang-guo, XIE Zhi, TIAN Qian-qian (Department of Pharmacy, Urumuqi General Hospital of LanZhou Military Command, Urumuqi 830000, China) [Abstract] Objective To compare and analyze the changes in quality of outpatient prescription before and after the implementation of comment on prescription， including the reasonableness of medication and the qualified rate of the prescription writing. Methods The comment was made on the prescriptions of the patients who were diagnosed in the outpatient department of our hospital from Aug and Sep in 2009 to Jan and Feb in 2010. Unqualified prescriptions were screened out and classified by clinical pharmacists.The percentage of different types for unqualified prescriptions in all and various clinical departments were calculated and compared before and after the prescription comment. Results The percentage of unqualified prescriptions was markedly reduced from 21.43% in Aug and Sep，2009 to 2.59% in Jan and Feb，2010 (P0.01). Conclusion After the comment on unqualified prescriptions，writing of prescription would be normalized for ervery doctor，clinical medication would be reasonable. Key wordsComment on prescription; Writing of prescription; Comparative analysis; reasonableness of medication 处方是医疗活动中最常见的一种文书，它直接关系到患者治疗效果的好坏，具有法律、技术、经济上的意义，直接反映医院的用药水平和医疗质量。为规范处方管理，提高医疗质量，促进合理用药，保障医疗安全，卫生部2007年5月1日正式实施新的《处方管理办法》，对处方提出了详细的要求。要求医疗机构应当建立处方点评制度[1]，填写处方评价表，对处方实施动态监测及超常预警，登记并通报不合理处方，对不合理用药及时予以干预。处方评价是指对医疗系统所