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目的:探讨建立药师干预门诊处方合理用药的机制,落实《处方管理办法》对临床的价值。方法:建立处方点评工作表,抽取2011年1月一9月与2011年10月～2012年6月的门诊处方3600张,分为对照组和干预组,针对门诊处方的安全性、有效性及经济性进行干预。结果:干预后,干预组平均每张处方的用药品种数、抗菌药使用百分比、注射剂使用百分比、国家基本药物占处方用药的百分率、每张处方金额,与对照组比较,都有所改善。结论:高质量的处方点评可以促进用药规范性,防范潜在的用药失误,优化药品品种结构,改善医患关系,提高医疗品质,提高药物治疗的安全性、有效性和经济性,有利于推行循证医学思维,对提高临床合理用药水平起到积极的推动作用。
Objective: To explore the mechanism of pharmacist intervention in outpatient prescriptions rational use of drugs, to implement the “prescription management approach” to the clinical value. Methods: To establish a prescription review worksheet, and to extract 3600 outpatient prescriptions from January to September 2011 and from October 2011 to June 2012. The questionnaires were divided into control group and intervention group. According to the safety and efficacy of outpatient prescriptions and Economic intervention. Results: After the intervention, the number of drugs per prescription, the percentage of antibacterials used, the percentage of injectable drugs used, the percentage of national essential drugs in prescriptions, and the amount of prescription per prescription in the intervention group were improved compared with the control group. Conclusion: High-quality prescription reviews can promote the standardization of medication, prevent potential medication errors, optimize drug product structure, improve doctor-patient relationship, improve medical quality, improve the safety, effectiveness and economy of drug treatment, Card medical thinking, to improve the clinical rational use of drugs played a positive role in promoting.