Comparative Analysis And Study Of Outpatient Prescirptions Before And After Intervention In A3A Hospital

Objective: Through reviewing the prescription of outpatient departments, a specificphysician, antibiotic and glucocorticoids, We hoped to find problems and make effectiveintervention to them, to improve the rational application level further by sampling andevaluating the outpatient prescription for a certain3A hospital. Methods: With arandom sampling method, we selected794cases of out-patient prescription from16clinical departments between August2008and November2010as research data（pre-intervention）. In the same way,we selected outpatient prescription of a specificphysician with serious problem before and after intervention as research data. Everymonth, we randomly selected20cases and10cases of hospitalized cases of out-patientprescription from rheumatological, emergency medicine, neurology, renal medicine,gastroenterology, traditional Chinese Medicine between August2011and December2012as research data. We also selected600cases of using dexamethasone sodiumphosphate injection prescription of emergency medicine between September2012andFebruary2013as research data.In accordance with the relevant provisions. We workedout the initial evaluation and final assessment of prescriptions, and fed back to thePrescribers and clinical departments where prescription come from,to interveneeffectively. Results: The compliance rate of prescription from16clinical departmentsincreased significantly from41.3%（before intervention） to68.5%（afterintervention）.the problems such as excess prescription, diagnosis and treatment doesnot match and not suitable dosage improved significantly. However, the antibiotic usageand the average amount of prescription have no significant change. The prescription’scompliance rate of specific physician improved significantly after intervention. fivedepartments of outpatient antibiotic use percentage reached20%of the requirementsand four departments of the inpatient antibiotic usage reaches60%of the requirements.There are two departments using the strength of40DDD requirements; six outpatient departments and inpatient antibiotic unreasonable rate has fluctuations, but the overallwas downward trend. The compliance rate of using dexamethasone sodium phosphatefrom emergency medicine increased significantly from28%（before intervention） to70%（after intervention）;every month the percentage of the number of prescriptionsusing dexamethasone sodium phosphate decreased from18.34%to9.45%.Conclusions:Comments after the intervention, prescription pass rate has improved significantly, butthere is still the phenomenon of irrational drug use, so we should strengthenedregulations for prescription management training of medical staff, continued to regulatehealth (medicine) division of the prescribing behavior, promoted using drug safe,effective,and economical.