我院门诊1 342份不合理处方分析
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篇名: 我院门诊1 342份不合理处方分析
TITLE:
摘要: 目的:为提高我院门诊合理用药水平提供参考。方法:选取我院2015年3月-2016年3月门诊药房处方24 947张,对其中不合理处方进行总结分析。结果:不合理处方共计1 342张,占所查处方的5.38%。主要包括超量、临床诊断书写不规范、使用商品名、剂型或给药途径错误、适应证不适宜、给药途径或剂型不适宜、遴选的药品不适宜、用法用量不适宜、重复用药和配伍禁忌等。其中以临床诊断书写不规范(占22.88%)和用法用量不适宜(占61.18%)最常见。结论:我院门诊处方仍然存在不合理用药情况,应及时采取相应对策,并不断改进和完善不合理处方的各项干预措施,提高处方质量和合理用药水平,以保证用药安全。
ABSTRACT: OBJECTIVE: To provide reference for the improvement of rational drug use in outpatient department of our hospital. METHODS: 24 947 prescriptions were selected from outpatient pharmacy of our hospital during Mar. 2015-Mar. 2016, and the irrational prescriptions were summarized and analyzed. RESULTS: There were 1 342 unreasonable prescriptions, accounting for 5.38%. They mainly manifested as overdosage, nonstandard writing of clinical diagnosis, wrong brand name, dosage and route of administration, inappropriate complications, inappropriate route of administration and dosage, inappropriate drug, inappropriate usage and dosage, repeated drug use, incompatibility. The most common irrational types were nonstandard writing of clinical dragnosis (22.88%) and inappropriate usage and dosage (61.18%). CONCLUSIONS: Irrational drug use still exists in the outpatient prescriptions in our hospital. It is suggested to take countermeasures timely, and continuously improve and perfect the intervention measures of unreasonable prescriptions, improve the quality of prescriptions and the level of rational drug use, in order to ensure the medical safety.
期刊: 2016年第27卷第32期
作者: 唐慧芝,高颖,倪海
AUTHORS: TANG Huizhi,GAO Ying,NI Hai
关键字: 门诊;不合理处方;分析;合理用药
KEYWORDS: Outpatient department;Irrational prescription;Analysis; Rational drug use
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