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目的:分析门诊不合理用药处方、抗菌药物的使用和抗菌药物处方点评,为医院临床合理用药提供参考。方法:抽取2014年度门诊处方391 043张,干预处方5 249张;其中抗菌药物处方为5 100张,按《处方管理办法》、《抗菌药物临床应用指导原则》等为依据和标准,点评不合理处方和分析药师干预的效果。结果:不合理处方为384张,其不合格率为7.52%;第一季度不合理处方率为2.96%,药师干预后第二季度不合格率为1.98%,第三季度不合格率为1.55%,第四季度不合格率为1.03%。结论:药师干预门诊抗菌药物合理使用成效较为显著,处方合格率得到明显提高。
OBJECTIVE: To analyze the prescriptions of unreasonable prescriptions, the use of antibacterials and the prescriptions of antibacterials in outpatient clinics so as to provide references for the clinical rational use of drugs in hospitals. Methods: 391 043 outpatients were enrolled in 2014 and 5 249 prescriptions were intervened. Among them, 5 100 prescriptions for antibiotics were prescribed. According to the “prescription management approach” and “Guiding Principles of Clinical Application of Antibacterial Drugs”, etc., the reviews were unreasonable Prescription and analysis pharmacist intervention effect. Results: 384 unreasonable prescriptions, the unqualified rate was 7.52%; the unqualified prescription rate in the first quarter was 2.96%; the unqualified rate in the second quarter after pharmacist intervention was 1.98%; the unqualified rate in the third quarter was 1.55% , The fourth quarter failed rate of 1.03%. Conclusion: The rational use of antibacterials by pharmacists in outpatient clinics is more obvious, and the passing rate of prescriptions has been significantly improved.