目的：了解镇江市第三人民医院（以下简称“我院”）临床药师干预前、后门诊处方使用情况，提高合理用药水平。方法：运用分层抽样法，抽取干预前组（2014年3—4月）和干预后组（2014年5—6月）的门诊处方各2000张进行筛查，并对结果统计分析。结果：干预后，门诊处方合格率由之前的80.75％提高到92.70％；国家基本药物占用药百分率、抗菌药物使用率、静脉给药率、口服给药率及平均每张处方金额均较干预前有显著改善，差异有统计学意义（ P＜0.05）；处方量比例较大的10个科室，干预前合格率为79.33％，干预后合格率为95.48％，差异有统计学意义（ P＜0.05）；不规范处方和不适宜处方均明显减少。结论：临床药师对门诊处方进行干预有助于提高医院处方质量，促进临床合理用药。%OBJECTIVE:To further improve the level of rational use of drugs via the review and analysis of outpatient prescriptions before and after intervention by clinical pharmacists in Zhenjiang Third People's Hospital ( hereinafter referred to as “our hospital”) .METHODS: Stratified sampling method was adopted , to select before intervention group(Mar.-Apr.2014)with 2000 cases, and after intervention group(May-Jun.2014)with 2000 cases;statistical analysis was conducted on the results .RESULTS: After intervention , the qualification rate of outpatient prescriptions increased from 80.75% to 92.70%;the drug use percentage of national essential drugs , antibiotics utilization ratio , intravenous administration ratio , oral administration ratio and the average consumption sum of each prescription had been significantly improved compared with before intervention , with statistically significant difference ( P<0.05 ) .Ten departments with a large number of prescriptions were observed , the qualification rate was 79.33%before intervention and 95.48%after intervention , with statistically significant difference ( P<0.05 ); the number of non-standard prescriptions and inappropriate prescriptions were significantly decreased . CONCLUSIONS: The intervention of clinical pharmacists in outpatient prescriptions can increase the quality of prescriptions andoffer a gist for rational drug use in clinic in our hospital .
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