[1]张艳娟,李纪伟.门急诊处方点评与分析[J].医学信息,2019,32(13):123-125128.[doi:10.3969/j.issn.1006-1959.2019.13.036]
　ZHANG Yan-juan,LI Ji-wei.Door Emergency Prescription Review and Analysis[J].Journal of Medical Information,2019,32(13):123-125128.[doi:10.3969/j.issn.1006-1959.2019.13.036]
点击复制

门急诊处方点评与分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年13期
页码:
123-125128
栏目:
调查分析
出版日期:
2019-07-01

文章信息/Info

Title:
Door Emergency Prescription Review and Analysis
文章编号:
1006-1959（2019）13-0123-04
作者:
张艳娟; 李纪伟
天津市蓟州区人民医院药剂科，天津 301900
Author(s):
ZHANG Yan-juan; LI Ji-wei
Department of Pharmacy,People's Hospital of Jizhou District,Tianjin 301900,China
关键词:
门急诊; 处方点评; 汇总分析
Keywords:
Key words：Emergency department; Prescription review; Summary analysis
分类号:
R97
DOI:
10.3969/j.issn.1006-1959.2019.13.036
文献标志码:
B
摘要:
目的 通过点评分析我院门急诊处方用药情况，以提高处方合格率，促进临床合理用药。方法 通过我院HIS系统，临床药师每月随机抽取1 d门急诊处方进行点评与分析。结果 2018年门诊处方为343850张，点评11438张，点评率为3.33%；急诊处方为58344张，点评2053张，点评率为3.52%。门急诊处方总合格率为97.24%，其中门诊处方合格率为97.38%，急诊处方合格率为96.44%。门急诊处方点评中不合理处方共373张，其中门诊300张，急诊73张；门诊不合理处方排前3位为用法用量不合理、诊断与用药不符、选药不合理；急诊不合理处方排前3位为无指征用抗生素、用法用量不合理、选药不合理。结论 应不断加强处方点评力度及行政干预措施，规范医师处方行为，促进合理用药，保障医疗安全。
Abstract:
Abstract：Objective To analyze the prescription drug use in our hospital emergency department to improve the prescription pass rate and promote clinical rational drug use. Methods Through the HIS system of our hospital, the clinical pharmacists randomly selected 1 d emergency department prescription for evaluation and analysis. Results In 2018, the number of outpatient prescriptions was 343,850, and the reviews were 11,438. The evaluation rate was 3.33%. The emergency prescription was 58,344, and the number of reviews was 2053. The evaluation rate was 3.52%. The total qualified rate of emergency prescriptions was 97.24%, of which the outpatient prescription rate was 97.38%, and the emergency prescription rate was 96.44%. There were 373 unreasonable prescriptions in the emergency prescriptions, including 300 outpatients and 73 emergency departments. The first three unreasonable prescriptions were unreasonable usage, inconsistent diagnosis and medication, unreasonable drug selection, and unreasonable prescription in emergency department. The first three are antibiotics for no indication, the usage and dosage are unreasonable, and the drug selection is unreasonable. Conclusion The prescription review and administrative intervention measures should be continuously strengthened to standardize the prescription behavior of doctors, promote rational drug use, and ensure medical safety.

参考文献/References:

[1]卫生部.关于印发《医院处方点评管理规范（试行）》的通知[Z].2010-2-10. [2] 卫生部.卫生部处方管理办法[Z].2007-2-14. [3]甄健存,边宝生,孔繁翠,等.区域性处方点评对临床合理用药的效果评估[J].中华医院管理杂志,2015,31(7):531-533. [4]陈张勇,栗芳,赵志刚,等.药师参与老年患者多重用药管理的研究进展[J].中国医院药学杂志,2018,38(4):109-112. [5]Kim HA,Shin JY,Kim MH,et al.Prevalence and predictors of polypharmacy among Korean elderly[J].PLoS One,2014(9):e98043.

相似文献/References:

[1]邹 宏.处方点评对中药调配差错的影响[J].医学信息,2019,32(18):129.[doi:10.3969/j.issn.1006-1959.2019.18.043]
　ZOU Hong.The Effect of Prescription Comments on the Mismatch of Traditional Chinese Medicine[J].Journal of Medical Information,2019,32(13):129.[doi:10.3969/j.issn.1006-1959.2019.18.043]
[2]窦一峰,崔金广,蒙文涛,等.三种数学模型预测医院门急诊就诊人次数的价值比较[J].医学信息,2020,33(24):18.[doi:10.3969/j.issn.1006-1959.2020.24.006]
　DOU Yi-feng,CUI Jin-guang,MENG Wen-tao,et al.Comparison of the Value of Three Mathematical Models on Prediction in the Number of Outpatient and Emergency Patients[J].Journal of Medical Information,2020,33(13):18.[doi:10.3969/j.issn.1006-1959.2020.24.006]
[3]方 琪,向 莉,王晓洁.环节管理对提高门急诊患者就诊体验的作用[J].医学信息,2021,34(02):35.[doi:10.3969/j.issn.1006-1959.2021.02.010]
　FANG Qi,XIANG Li,WANG Xiao-jie.The Role of Link Management in Improving the Experience of Outpatient and Emergency Patients[J].Journal of Medical Information,2021,34(13):35.[doi:10.3969/j.issn.1006-1959.2021.02.010]

更新日期/Last Update: 2019-07-01