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目的探讨我院处方管理干预措施对门诊药品的使用和处方合理性的影响。方法从2013年起,我院对处方的开具进行干预。收集干预前处方(2012年,n=1 200)和干预后处方(2013年,n=1 200),对处方的用药情况进行分析,并对用药合理性情况进行评价和分析。结果干预后门诊处方合理率上升(P<0.05),不规范处方和用药不适宜处方比例下降(P<0.05),但超常处方比例变化不明显。结论对处方的开具进行干预能有效提升门诊处方的合理率。
Objective To explore the influence of prescription management interventions in our hospital on the use and prescribing rationality of outpatients. Methods Since 2013, our hospital intervened in the issuance of prescriptions. Pre-intervention prescriptions (n = 1 200 in 2012) and post-intervention prescriptions (n = 1 in 2013) were collected to analyze the prescriptions and to evaluate and analyze the rationality of the medication. Results After the intervention, the rational rate of outpatient prescription increased (P <0.05), the proportion of non-standard prescription and inappropriate medication decreased (P <0.05), but the proportion of supernormal prescription did not change obviously. Conclusions Intervention on the prescribing can effectively improve the rational rate of outpatient prescriptions.