中国药物警戒 ›› 2010, Vol. 7 ›› Issue (12): 755-757.

• 药品不良反应监测 • 上一篇    下一篇

507例门诊处方评价与结果分析

张新毅1,郝瑞东1,郝钢2   

  1. 1.包头肿瘤医院药剂科,内蒙古包头014030；
    2.包头市医疗保险局,内蒙古包头014060
  • 收稿日期:2010-05-17 修回日期:2016-03-09 出版日期:2010-12-08 发布日期:2016-03-09
  • 作者简介:张新毅,男,硕士,临床药学。

Evaluation and Analysis on 507 cases of Outpatients Prescription in Hospital

ZHANG Xin-yi1 ,HAO Rui-dong1, HAO Gang2   

  1. 1.Bao tou cancer hospital, Inner Mongolia, Baotou 014030, China;
    2.Bureau of Health Lnsurance of Baotou, Inner Morgolia Baotou 014060, China
  • Received:2010-05-17 Revised:2016-03-09 Online:2010-12-08 Published:2016-03-09

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摘要： 目的 了解门诊处方用药情况并提出对策,为今后实施处方评价制度提供参考。方法抽取我院2010 年7 月12～16 日的门诊处方507张,按照《医院处方评价管理规范规范》要求进行处方评价。结果 门诊患者以各类慢性患者居多,占71.4%；门诊患者平均年龄偏大,为（57.03±17.52）岁。合理用药方面表现在抗菌药物和注射剂的使用率方面控制较好,分别为27.4%和25.4%；绝大多数处方药物为国家基本药物（98.2%）,门诊处方药品通用名使用率高（99.3%）。处方不合理之处主要表现在处方书写不规范、字迹难以辨认（17.0%）；处方超7 日用量未注明理由并再次签名（41.3%）；药品适应证不适宜（13.3%）；用法用量不适宜（17.7%）。结论 我院处方评价工作处于初级阶段,还需深入分析研究合理用药现象。药师应不断学习,掌握丰富专业技术知识,以促进药品的安全、有效、经济、合理使用,保障医疗安全。

关键词: 处方评价, 门诊患者, 合理用药

Abstract: Objective To investigate the situation of drug usage in the outpatient prescription and give proposition so as to provide reference for the practice of prescription evaluation system. Methods 507 Outpatient prescriptions from July 16 to July 20 in 2010 in our hospital collected were evaluated, in accordance with "Hospital Prescription Requirement for Evaluation". Results Most outpatients in our hospital were chronic patients, accounting for 71.4% , and the mean age of outpatients was(57.03±17.52). The utilization of Injections and antibiotics was rational on the whole, and their application ratios were 27.4% and 25.4% . Prescriped drugs were mostly covered in "the national essential drugs" (98.2%), and with highly general name ratio(99.3% ). Irrational prescriptions involved in illegible handwriting (17.0%); prescription dosage over 7 days without re-sign and unspecified reasons (41.3%); drugs inappropriate indication (13.3%) and use of inappropriate dosage (17.7%). Conclusion In our hospital, the evaluation of prescription was in initial stage, and the analysis rational drug use need to deep. So pharmacists should learn continuous ly in order to promote drug safety, effective, economic, rational use and to protect medical safety.

Key words: prescription evaluation, outpatient, rational use of drug

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