目的:探讨门急诊医师处方点评中存在的问题,指导临床医生合理用药。方法:利用门诊医生工作平台,对152名有处方权医师的2014年6-12月份门(急)诊处方进行随机抽样,抽取处方总数6 896张。结果:不合理处方463张,不合格率6.7%。不合理处方分布及占比:不规范处方208张,占44.9%;用药不适应处方258张,占55.7%;超常处方3张,占0.5%。结论:开展门急诊医师处方点评,有助依据“阳光用药实施方案”发现临床医生存在的不合理用药问题,及时实施干预改进措施,提高临床医生用药的科学性、合理性,提高诊疗水平,真正落实“阳光用药”给老百姓看病带来更多实惠。 Objective: To discuss the problems existing in the evaluation of the emergency department physicians and to guide the clinicians to use drugs rationally. Methods: Using the outpatient working platform, a total of 152 prescriptions for door-to-door (emergency) prescriptions from June to December 2014 were randomly selected and the total number of prescriptions was 6,896. Results: 463 unreasonable prescriptions with a failure rate of 6.7%. Unreasonable prescription distribution and proportion: irregular prescriptions 208, accounting for 44.9%; medication does not meet the prescription 258, accounting for 55.7%; super prescription 3, accounting for 0.5%. Conclusion: It is helpful to find out the problem of unreasonable medication for clinicians based on “Sunshine Medication Implementation Plan ” and carry out the measures of intervention and improvement in time to improve the scientific and reasonable use of clinicians and improve the diagnosis and treatment level , The real implementation of “sunshine medicine” to bring more benefits to the people see a doctor.