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目的了解四川大学华西医院急诊处方书写质量及合理用药情况。方法随机抽取2012年1月-2013年12月急诊处方,按照《处方管理办法》和《医院处方点评管理规范(试行)》要求进行统计分析。结果从2012年到2013年,处方合格率从91.45%上升至96.70%,平均每张处方用药品种数均为1~2种,抗菌药物的使用率均保持在20.00%以下,使用国家基本药物占处方用药比例从60.68%上升至66.15%,药品通用名占处方用药比例趋近100.00%,但注射剂使用率从82.92%上升至85.67%。结论通过处方点评,列出存在问题,对不合理处方进行干预后,处方合格率得到提高。但注射剂使用率比较高,有待制订更具体、更严格和更有效的干预措施。
Objective To understand the quality of emergency prescriptions and the rational use of drugs in West China Hospital of Sichuan University. Methods Randomly select emergency prescriptions from January 2012 to December 2013 and conduct statistical analysis in accordance with the requirements of the “Regulations on the Management of Prescriptions” and “Regulations on Management of Prescriptions of Hospital Reviews (for Trial Implementation)”. Results From 2012 to 2013, the passing rate of prescriptions increased from 91.45% to 96.70%. The average number of prescriptions for each prescription was 1-2. The use of antibacterials remained below 20.00%. The use of national essential medicines The proportion of prescription drugs rose from 60.68% to 66.15%. The proportion of generic drugs in prescriptions approached 100.00%. However, the use rate of injections increased from 82.92% to 85.67%. Conclusion According to the prescription reviews, the existing problems were listed. After the intervention of unreasonable prescriptions, the pass rate of prescriptions was improved. However, the use of injectables is relatively high and more specific, more rigorous and more effective interventions need to be worked out.