中国药物警戒 ›› 2012, Vol. 9 ›› Issue (1): 33-34.

• 管理及工作研究 • 上一篇    下一篇

我院门/ 急诊2010 年度不合格处方分析

易丹，唐贤斌*，陆向红，罗佳，黄丽   

  1. 株洲市一医院，湖南株洲412000
  • 收稿日期:2011-05-25 出版日期:2012-01-10 发布日期:2015-08-10
  • 通讯作者: 唐贤斌,男,副主任药师,临床药学与药事管理。E-mail:770385408@qq.com
  • 作者简介:易丹，女，药师，临床药学与不良反应监测。

Analysis of Unqualified Prescriptions in Outpatient and Emergency Departments of Our Hospital in 2010

YI Dan Tang, Xian-bin*, LU Xiang-hong, Luo Jia, Huang Li   

  1. The First Hospital of Zhuzhou, Hunan Zhuzhou 412000, China
  • Received:2011-05-25 Online:2012-01-10 Published:2015-08-10

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摘要： 目的了解我院门急诊处方存在的问题，提高处方质量，促进合理用药。方法随机抽取我院2010年门急诊处方58 556份，以《处方管理办法》、《抗菌药物临床应用指导原则》、《新编药物学》及《中华人民共和国药典·临床用药须知》等资料为依据，按2010年新颁发的的《医院处方点评管理规范（试行）》标准，从处方书写规范性及用药合理性角度，判断不合理处方并进行分类分析。结果不合理处方共2 506份，占抽查总处方数的4.28 %。其中不规范处方、用药不适宜处方及超常处方各占不合理处方总数的9.34 %、81.76%、8.90%。用药不适宜处方主要表现为遴选的药品不适宜的、用法用量不适宜的、联合用药不适宜的、重复用药的。结论经过采取一系列促进合理用药措施后，我院门急诊下半年处方不合格率明显低于上半年门急诊处方不合格率，我院门急诊处方质量逐步提高，还应继续努力，不断提高处方质量。

关键词: 门/ 急诊, 处方, 分析, 合理用药

Abstract: Objective To investigate the problems in outpatient and emergency prescriptions in order to improve prescription quality and promote rational use. Methods58 556 outpatient and emergency prescriptions of our hospital in 2010 were randomly selected. The irrational prescriptions were classified and analyzed in respect of writing and rationality of drug use according to Prescription Management, Guiding principles for clinical application of antibiotics, New Edited Pharmacy, Chinese Clinical Drug Use Principle and Hospital Prescription Evaluation and Management(trial) issued in 2010. ResultsThere were 2 506 irrational prescriptions, accounting for 4.28%. Among the total, nonstandard prescriptions, inaptitude medication prescriptions, abnormal prescriptions were respectively accounted for 9.34%、81.76%、8.90%. ConclusionAfter a series of measures were carried out, the unqualified rate of the second half year gradually decreased with the first half year. The quality of outpatient and emergency prescriptions in our hospital is improving gradually, but further hard work should be carried out to improve prescriptions, quality continuously.

Key words: outpatient and emergency department, prescriptions, analysis, rational drug use