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通过对某院2010年~2015年间,门急诊处方共104367张进行点评,对处方基本指标、不合理处方进行归类,分析不合理处方并进行干预。通过不断的处方点评、反馈、通报、诫免谈话、经济处罚等措施,处方合理率从2010年的82.50%提高到2014年的96.86%,门诊处方(包括儿科及急诊处方)抗菌药物使用率从2010年的38.91%降到2014年的20.73%,不合理处方的组成性质也产生改变。
Through a review of 104367 prescribing prescriptions in a hospital from 2010 to 2015, we classified the basic prescriptions and unreasonable prescriptions, analyzed the unreasonable prescriptions and intervened. The rate of prescriptions was increased from 82.50% in 2010 to 96.86% in 2014 through continuous reviews, feedbacks, briefings, admonition talks and economic penalties. The out-patient prescriptions (including pediatrics and emergency prescriptions) were used at a reasonable rate from 2010 Year 38.91% to 20.73% in 2014, the composition of the unreasonable prescription also changed.