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1、我院门诊处方调查与评价邓彩霞(广东阳江市人民医院药剂科广东阳江529500)【中图分类号】R197【文献标识码】A【文章编号】1672-5085(2013)02-0109-03【摘要】目的监测和评价我院门诊用药的现状,为我院持续改进、合理用药工作提供参考信息。方法所用的处方来源于我院2012年7・9月份,每个月随机抽查一日的处方(正常工作日),统计基本药物的处方数、药品通用名、处方金额、抗菌药物、注射剂的百分率等,从中抽查不合格处方进行点评。结果木院门诊处方平均每张处方用药品种数3.02种。药品通用名占处方用药的百分率100%,处方的平均金额为元124.2。门诊处方抗菌药物使用率
2、为27.7%%;儿科使用抗菌药物使用率为55.4%;急诊科使用抗菌药物使用率为42.5%;儿科使用一联抗菌药物为98.6%;急诊科使用一联抗菌药物为92.6%;儿科使用二联抗菌药物为1.4%;急诊科使用二联抗菌药物为7.4%;总门诊处方(包括急诊、儿科)使用注射剂为使用率17.9%;门诊处方合格率为96.6%,不合理处方为3.4%O结论通过处方点评,提高了临床医师合理用药水平,特别是提高抗菌药物的合理应用水平,为提高医院医疗质量提供了基础。【关键词】门诊处方处方点评合理用药抗菌药物SurveyandCommentOfoutpatientprescript!oninOurhospi
3、tal【Abstract]OBJECTIVE:ToMonitorandevaluateofMedicationstatusinourHospitaloutpatienta,Forcontinuousimprovementinourhospital,ToproviderefereneeinformationForcontinuousimprovementinourhospitalandrationaluseofdrugs.METHODS:PrescriptionsusedisfromourhospitalbetweenjulyandSeptemberin2012,Tocheckon
4、theDayprescription(normalworkingday)Randomlypermonth,Toaddupthenumberofprescriptionsofessentialmedicines,genericDrugs,prescriptionamount,antibiotics,thepercentageofinjectionandsoon.TosurveytheUnqualifiedprescriptionsareinordertoevaluate.RESULTS:TheaveragenumberofdrugsofPerprescript!onis3.02in
5、ourHospitaloutpatient.GenericDrugsaccountfor100.0%ofthePrescription,Theaverageamountofprescriptionsis124.2,antibioticsusageofOutpatientprescriptionis27.7%,antibioticsusageforChildrenis55.4%,utilizationrateofantimicrobialdrugsis42.5%inemergencydepartment,Anassociatedantimicrobialdrugsforpediat
6、ricuseis98.6%,Theuseofajointanti-bacterialdrugsis92.6%inemergencydepartment,theuseoftwoassociatedantimicrobialdrugswas7.4%inEmergencydepartment,theutilizationrateoftotaloutpatientprescriptionsinjection(includingemergency,pediatric)is17.9%.ApassrateoftheOutpatientprescriptionaccountsfor96.6%an
7、dUnqualifiedprescriptionaccountsfor3.4%.CONCLUSIONS:ToimprovethelevelofrationaldruguseofcliniciansbyPrescriptionComments.Toraisethelevelofrationaluseofantimicrobialdrugsespecially,itisthefoundationwhichistoimprovethequalityofhospitalhealthcar