从临床不合理用药看基层医院处方点评制度的干预效果

摘要

Objective Evaluate the effect of interventions in clinical irrational drug prescription review system.Methods Reviews found irrational drug prescription,through its study of the combination of results and performance appraisal reviews up intervention clinical irrational drug use.Results Improve outpatient prescription reviews the results,drug-resistant grade medication,hospitalization cases indicators irrational drug prescription, prescription passing rate from 75.3%,78.61%to 93.04%,non-standard prescription fell from 5.87%,4.23%to 2.01%,rational use of antibiotics rate rose from 62.55%to 80.21%.Conclusion The specification builds prescription reviews clinical irrational drug intervention system and its effective norms.%目的：评价临床不合理用药中处方点评制度的干预效果。方法利用处方点评发现不合理用药﹐通过宣传学习把点评结果和绩效考核等结合起来干预临床不合理用药。结果有效改善了门诊处方点评结果﹑抗药物分级用药﹑住院医嘱不合理用药病例指标等﹐处方合格率从75.3﹪﹑78.61﹪上升到93.04﹪﹐不规范处方从5.87﹪﹑4.23﹪下降到2.01﹪﹐合理使用抗生素率从62.55﹪上升到80.21﹪。结论通过规范建立处方点评制度干预临床不合理用药并对其进行了有效规范。