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江苏卫生事业管理:2019,Vol.>>Issue(11):1446-1448
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处方点评干预对某三甲医院门急诊处方合格率的影响
张祯玲
(苏州市中西医结合医院人事科)
Influence of Prescription Comment Intervention on the Qualified Rate of Outpatient and Emergency Prescriptions in a Grade A Tertiary Hospital
Zhang Zhenling
(Personnel Department,Suzhou Hospital of Integration of Chinese and West Medicine)
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中文摘要: 目的:规范门急诊处方点评工作,促进临床合理用药。方法:随机抽取该医院2013-2014年处方,以《处方管理办法》为基础,参考《江苏省医院抗菌药物临床应用管理体系建设指导意见》的精神,结合该院2011年7月制定的《某市立医院本部抗菌药物分级管理制度》内容进行点评,并将审核结果进行统计分析。结果:从2013年到2014年,门急诊处方合格率从94.91%上升至97.71%。该院根据国家政策并结合本地医疗水平制定的门诊抗生素使用率以及急诊抗生素使用率分别为20%、35%,门诊抗生素使用率由19.83%降低至18.43%,急诊抗生素使用率由34.07%降低至33.07%,指标均在标准范围内并有所下降。结论:通过定期对处方进行点评,发现处方存在的一定问题,提高处方合格率,促进抗菌药物合理使用,是提高医院处方质量的关键环节。
中文关键词: 抗菌药物  处方  处方质量
Abstract:Objectives:To standardize the work of comments on outpatient and emergency prescriptions to promote rational drug use in clinic. Methods:The prescriptions were randomly selected from the hospital during 2013-2014,taking The Method of Prescription Management as the foundation,referring to The Guidance of Antibacterial Drug Clinical Application Management System in Jiangsu Province Hospital and Antibacterial Drug Classification Management System of XX Municipal Hospital that enacted in July 2011. The results were statistically analyzed. Results:From 2013 to 2014,the qualified rate of outpatient and emergency prescriptions increased from 94.91% to 97.71%. According to the national policy and the local medical level,the hospital formulated the standard with an outpatient antibiotic utilization rate and the emergency use rate of 20% and 35%. The rate of antibiotic use in outpatient service was reduced from 19.83% to 18.43%,and the emergency department decreased from 34.07% to 33.07%.The levels of the indicators were within the standard range and declined. Conclusions:Through regular review to prescriptions,the problems in the prescription are found,and the qualified rate of the prescriptions is improved,which promotes the rational use of antimicrobial drug. It is the key link to improve the quality of prescription.
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引用文本:
张祯玲.处方点评干预对某三甲医院门急诊处方合格率的影响[J].江苏卫生事业管理,2019,30(11):1446-1448.
Zhang Zhenling.Influence of Prescription Comment Intervention on the Qualified Rate of Outpatient and Emergency Prescriptions in a Grade A Tertiary Hospital[J].Jiangsu Health System Management,2019,30(11):1446-1448.

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