| 摘要: |
| 目的:采用多种处方点评模式对我院门急诊处方进行点评与分析,从而促进儿童安全合理用药。方法:应用人工点评结合合理用药系统,对儿童门急诊不合理处方进行实时警示、拦截,分析不合理处方类型及原因,积极制定相应对策进行干预。结果:2016年度合理用药系统全处方点评总合格率为98.97%,其中超常处方占5.18%,用药不适宜处方占94.82%。人工点评总合格率为98.13%,其中不规范处方占1.20%,超常处方占11.52%,不适宜处方占87.27%。专项点评抗菌药物合格率98.24%,微生态制剂合格率95.70%。结论:人工处方点评结合计算机技术是临床药物治疗的有效监管手段,有助于实现用药合理化。 |
| 关键词: 合理用药 处方点评 干预 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2018.08.012 |
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| 基金项目: |
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| Review and Analysis on Outpatient and Emergency Prescriptions in Hangzhou Children's Hospital in 2016 |
| Jiang Yingying1 , Zhan Yaoping2 , Liao Li1 |
| (1. Hangzhou Children's Hospital, Zhejiang Hangzhou 310014, China; 2. Zhejiang Provincial People's Hospital, Zhejiang Hangzhou 310014, China) |
| Abstract: |
| Objective: To evaluate and analyze the outpatient and emergency prescriptions through multiple prescription review models, so as to promote the safe and rational medication for children. Methods: Manual review combined with rational medication system were used for real-time warning and interception of irrational outpatient and emergency prescriptions in children. Irrational types and causes of prescriptions were analyzed, and countermeasures were actively formulated to conduct the intervention. Results: The total pass rate of prescriptions in 2016 was 98.97%, including 5.18% of supernormal prescriptions and 94.82% of inappropriate prescriptions. The total pass rate of manual review was 98.13%, including 1.20% of non-standard prescriptions, 11.52% of supernormal prescriptions and 87.27% of inappropriate prescriptions. The qualified rate of antibacterial drugs was 98.24%, and the qualified rate of probiotics was 95.70%. Conclusion: Manual prescription review combined with computer technology is an effective monitoring approach for clinical drug treatment, which helps to rationalize medication. |
| Key words: rational drug use prescription review intervene |
