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目的对临床用药的合理性进行动态监测,保障患者用药安全、有效、经济。方法对我院2014年12月~2015年11月的门急诊药房共56979张处方进行了点评和分析,并对抗菌药物和注射剂药物进行专项点评。结果共点评处方数量56979张,实现处方全点评。门诊合理处方比例从最低的90.6%上升至99.9%,急诊合格处方率11月已达100%,符合三级医院不合理处方小于1%的要求;平均处方金额在要求范围内,抗菌药物和注射剂的使用均在合理范围内,临床各科室的处方合格率呈上升趋势。结论通过处方点评和有效的干预,在药师和医生的共同协作下,我院基本达到了合理用药的目标。
Objective To monitor the rationality of clinical medication and ensure the safety, effectiveness and economy of patients. Methods A total of 56979 prescriptions in outpatient and emergency department pharmacies in our hospital from December 2014 to November 2015 were reviewed and analyzed. Special reviews were given on antibacterial drugs and injections. Total number of reviews commenting on the number of 56,979 prescriptions to achieve the full prescription reviews. The proportion of reasonable prescriptions in outpatient clinics rose from the lowest 90.6% to 99.9%, and the qualified emergency prescriptions reached 100% in November, which met the requirements of less than 1% of unreasonable prescriptions in tertiary hospitals. The average prescribed amount was within the required range. Antibiotics and injections The use of all within a reasonable range of clinical departments of the prescription pass rate is on the rise. Conclusion Through the prescription comments and effective intervention, under the joint collaboration of pharmacists and doctors, our hospital basically reached the goal of rational drug use.