摘要
目的:对比前置审方实施前后门诊处方合格率的变化。方法:随机抽取某院引入审方系统前后各5个月的处方进行处方点评,对比不合理处方的数量和构成变化。结果:门诊不合理处方主要是适应症不适宜和用法用量不适宜。实施前置审方后,门诊处方的合格率由93.42%上升至97.85%(P=0.006),适应症不适宜和用法用量不适宜处方的数量大幅下降。结论:实施前置审方可显著提高门诊处方质量,保障患者用药的安全有效。
Objective:To compare the change of the qualified rate of outpatient prescription before and after the implementation of pre-examination prescription.Methods:The prescriptions of a hospital 5 months before and after the introduction of the prescription review system were randomly selected for prescription review,and the quantity and composition of unreasonable prescriptions were compared.Results:The irrational prescriptions in outpatient clinic were mainly unsuitable indications and usage.After the preprescription examination,the qualified rate of outpatient prescriptions increased from 93.42%to 97.85%(P=0.006),and the number of prescriptions unsuitable for indications and usage decreased significantly.Conclusion:Pre-examination can significantly improve the quality of outpatient prescriptions and ensure the safety and e ffectiveness of drug use.
作者
沙倩
SHA Qian(Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221000,China)
关键词
前置审方系统
处方点评
适应症不适宜
用法用量不适宜
pre-examination system
Prescription review
The indication i s not suitable
The usage and dosage are not appropriate