Vol.2 No.2 (May 2013)
The Prescription Evaluation and Analysis of Our Hospital’s Outpatient Service between 2009-2012
Objective: The purpose of this observation/research is trying to find the weakness, make continuing im-provements and constantly upgrade our level of prescription standardization and reasonable drug use by analyzing and making comparisons on our hospital’s outpatient service in four years duration which is between 2009 and 2012. Ap-proach: From January 2009 to December 2012, we randomly select one day’s outpatient prescription (not include nar-cotic drugs and psychotropic drugs) covering all departments. There are 20,496 pieces in four years and then we apply the Retrospective analysis and comparison on related indexes and data. Results: The number of patients (in annually average) has increased from 274.2 to 326; outpatient clinic number had an increasing trend since January 2009 to De-cember 2012. The average number of varieties of drugs (in annually average) used on every individual patient is float-ing in the range between 2.46 to 2.8 which comply with the WHO’s requirements/standards on developing countries’ medical institutions for the legal usage of drugs in outpatient that is average number of each prescription allows drug varieties is between 1.6 to 2.8. The average spending on each prescription for a single patient (in annually average) has increased from 86.41 to 184.13 Yuan which shows an increasing trend year by year. Antimicrobial usage rate (in annu-ally average) fell to 22.18% from 40.60%, although it has decreased significantly, it’s still break the requirement that the proportion of outpatient antimicrobial prescriptions must be lower than 20% from the Department of Health. Injection usage (in annually average) has dropped to 20.38% from 27.21%, which is slightly higher than 19.0% which the aver-age usage of injection was assessed in 2006 in WHO’s survey in developing countries. The percentage number of total Antimicrobial and total number of drugs (in annually average) has decreased from 17.7% to 11.49%. Unreasonable prescription happening rate has decreased to 4.78% from 15.86%, and the level of standardization on prescription has been improved significantly. Conclusion: By prescription review combined with effective administrative intervention, prescription standardization degree and the reasonable drug use level had been improved. However, there are many de-ficiencies about prescription comment on mode and coverage needed to be enforced and improved in future.
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