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目的:分析改进处方点评对合理用药的影响。方法:2015年10月之前,处方点评包括每日抽检,关注限制性药物、特殊科室与患者处方,部分临床点评,改进措施主要包括扩大抽检量、需特殊点评的药物、关注最新的药学信息指导处方点评工作、做好处方点评的人力资源管理、重视临床点评、重视点评结果的反馈。结果:改进后,不合理用药比重、品种失当、剂量/疗程不合理、药物相互作用、无注释、严重的书写问题发生率低于改进前,差异有统计学意义(P<0.05)。结论:改进后处方点评制度极大的改善合理用药水平。
OBJECTIVE: To analyze the impact of improving prescription reviews on rational drug use. Methods: Prior to October 2015, prescription reviews included daily sampling, attention to restricted drugs, special departments and patient prescriptions, and some clinical reviews. The improvement measures mainly included expanding the sampling volume, drugs requiring special comments, and paying attention to the latest pharmacy information guidance Prescription reviews work, make prescription reviews of human resources management, emphasis on clinical reviews, attach importance to feedback feedback. Results: After the improvement, the proportion of irrational drug use, improper variety, irrational dose / treatment, drug interaction, no comment, serious writing problems were lower than before improvement, the difference was statistically significant (P <0.05). Conclusion: The improved prescription review system greatly improves the reasonable medication level.