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目的通过处方点评,促进合理用药,提高医疗质量,规范处方书写。方法随机抽取本院2014年1—12月份门诊处方,按照《处方管理办法》和《医院处方点评管理规范(试行)》要求进行统计分析。结果 600张处方中,不合格处方80张,其中处方书写不规范共52张,处方用药不适宜28张,超常处方5张,分别占全部抽查处方的8.7%,4.7%和0.8%,处方合格率为86.6%。结论本院处方合格率较低,不适宜处方中抗菌药物不合理使用占绝大多数,抗菌药物使用起点较高,需加强学习,提高处方书写质量及临床用药合理性。
Objective Through the prescription reviews, to promote rational drug use, improve the quality of medical treatment, standard prescription writing. Methods The randomized outpatient prescriptions from January to December 2014 in our hospital were statistically analyzed according to the requirements of the “prescription management approach” and “management practices of hospital prescription reviews (for trial implementation)”. Results Of the 600 prescriptions, 80 were ineligible, of which 52 were non-standard prescriptions, 28 were not suitable for prescription medication and 5 were prescriptions for over-specification. They accounted for 8.7%, 4.7% and 0.8% of all randomized prescriptions respectively. The rate was 86.6%. Conclusions The prequalification rate of prescription in our hospital is low, which is not suitable for most prescriptions, and the starting point of antimicrobial agents is higher. Therefore, it is necessary to strengthen learning, improve the quality of prescription writing and rationality of clinical medication.