【摘要】 目的分析本院2016年门诊处方用药情况,为门诊合理用药提供依据。方法 13897张门诊用药处方,根据相关部门处方药品规定、药品说明书和重要文献分析处方。分析处方书写是否规范;处方是否规范;处方用药是否适宜。结果本院2016年门诊抽查处方共13897张,其中书写不规范35张,处方不规范205张;处方不适宜247张。书写不规范、处方不适宜、处方不合理数量逐渐降低,趋于低水平。注射剂、抗菌药物使用数量逐渐减少,抗菌药物费用比例逐渐降低,处方平均金额呈上升趋势。处方不规范205张,其中书写不规范35张,占17.07%;诊断书写不全81张,占39.51%;药物用法用量不清89张,占43.41%。处方不适宜247张,其中药品选择不适宜51张,占20.65%;给药途径不合理29张,占11.74%;用法用量不适宜47张,占19.03%;重复给药38张,占15.38%;适应证不适宜41张,占16.60%;联合用药不适宜41张,占16.60%。结论有效处方质量分析能够提升医务人员用药水平,促进门诊用药的合理性,保障患者用药安全性。更多还原

【Abstract】 Objective To analyze prescription of outpatient medication in our hospital in 2016, and provide the basis for rational use of drugs in outpatient. Methods 13897 prescriptions used for outpatient were analyzed according to relevant departments’ prescriptions, drug regulations, drug instructions and important documents, so as to analyze whether the prescription writing was standardized, whether the prescription was standardized and whether the prescription was appropriate or not. Results There were 13897 prescriptions in our hospital in 2016, among which 35 prescriptions writing were not standardized, 205 prescriptions were not standardized, and 247 prescriptions were not suitable. Irregular writing, inappropriate prescriptions and irrational prescriptions gradually decreased and tended to lower levels. The number of injection and antibacterial drugs gradually decreased, the proportion of antibacterial drugs decreased gradually, and the average amount of prescriptions increased. There were 205 irregular prescriptions, including 35 irregular writing prescriptions, accounting for 17.07%, 81 diagnostic insufficiency prescriptions, accounting for 39.51%, 89 unclear drug usage prescriptions, accounting for 43.41%. There were 247 inappropriate prescriptions, including 51 improper drug selection prescriptions, accounting for 20.65%, 29 irrational route of administration prescriptions, accounting for 11.74%, 47 unsuitable dosage prescriptions, accounting for 19.03%, 38 repeated medication prescriptions, accounting for 15.38%, 41 unsuitable indications prescriptions, accounting for 16.60%, 41 inappropriate drug combination prescriptions, accounting for 16.60%. Conclusion Effective prescription quality analysis can improve the level of drug use of medical staff, promote the rationality of outpatient medication and ensure the safety of medication.更多还原