2015年新疆医科大学第一附属医院昌吉分院门诊处方点评与分析

摘要

目的:了解新疆医科大学第一附属医院昌吉分院(以下简称"我院")门诊处方合理用药情况,以提高处方质量,促进合理用药.方法:收集我院2015年155764张门诊处方,按照等间隔抽样方法抽取17个临床科室的处方共1200张,依据枟处方管理办法枠枟医院处方点评管理规范(试行)枠等的要求进行合理性评价.结果:我院处方平均用药品种数为1.41种;抗菌药物处方所占比例为10.50%(126/1200);处方平均销售金额为67.32元.2015年门诊取消静脉输液后,注射剂应用率为0;药品通用名的使用率为100.00%.合理处方1150张(占95.83%),不合理处方50张(占4.17%).不合理处方类型包括不规范处方、用药不适宜处方、超常处方,其中,不规范处方与用药不适宜处方中存在较多问题.结论:我院门诊处方较为合理,但仍存在一些问题,临床医师和药师应提高专业知识水平,规范用药行为、提高审方能力,促进临床合理用药.%OBJECTIVE:To investigate the rational drug use status of outpatient prescriptions in the First Affiliated Hospital of Xinjiang Medical University Changji Branch ( hereinafter referred to as "our hospital") , so as to improve the prescription quality and promote the rational drug use .METHODS: By equal interval sampling method , 155764 prescriptions were collected in 2015 .By equal interval sampling method , 1200 prescriptions were extracted from 17 departments in our hospital .Rationality evaluation was conducted according to Prescription Management Method and Hospital Prescription Review Management Standard ( Trial).RESULTS: The average number of drug categories per prescription in our hospital was 1.41; the ratio of antibiotics prescriptions was 10.50% ( 126/1200 ) , and the average consumption sum per prescription was 67.32 yuan.After the abrogate of outpatient intravenous infusion in 2015 , the use rate of injection was 0;and the use rate of the approved drug names was 100.00%.There were 1150 rational outpatient prescriptions ( 95.83%) , and 50 prescriptions were irrational ( 4.17%) .The irrational types of prescriptions were non-standard prescriptions , improper administration and abnormal prescriptions; among which , more problems were existed in non-standard prescriptions , improper administration prescriptions .CONCLUSIONS:The outpatient drug use in our hospital is basically rational , yet there are still some irrational problems .Therefore , the clinicians and clinical pharmacists are suppose to raise the level of professional knowledge , regulate clinicians ' drug behavior and improve prescriptions for ability , so as to promote the rational drug use in clinic .