中国药物警戒 ›› 2018, Vol. 15 ›› Issue (12): 751-754.

• 安全性评价与合理用药 • 上一篇    下一篇

某精神专科医院门诊药房2016~2017年不合理处方干预分析

杨陈晨, 赵莹莲, 刘恺   

  1. 合肥市第四人民医院药剂科,安徽 合肥 230000
  • 收稿日期:2019-01-18 修回日期:2019-01-18 出版日期:2018-12-20 发布日期:2019-01-18
  • 作者简介:杨陈晨,女,本科,药师,医院药学。

Analysis of Unreasonable Prescription Intervention of A Mental Hospital Outpatient Pharmacy from 2016 to 2017

YANG Chenchen, ZHAO Yinglian, LIU Kai   

  1. Department of Pharmacy, Fourth People's Hospital of Hefei, Anhui Hefei 230000, China
  • Received:2019-01-18 Revised:2019-01-18 Online:2018-12-20 Published:2019-01-18

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摘要： 目的 探讨在精神专科医院门诊药房如何通过处方干预提高处方质量,促进合理用药。方法 对医院门诊药房2016年1月~2017年12月全部处方干预进行回顾性研究,对其中的不合理处方进行分类、统计和评价,分析导致错误发生的原因和改进措施。结果 2016~2017 年处方干预共计683 例,干预的不合理处方率从2016 年2.21‰ 下降为2017 年1.15‰ （χ2=36.313,P <0.05）;2016年和2017年的不合理处方构成差异有统计学意义（χ2 =20.599,P <0.05）;2016年处方干预成功率为79.1%,2017年为84.7%,两年间干预成功率差异无统计学意义（χ2 =3.230,P = 0.072）。结论 通过实时干预和行政干预的共同开展,处方干预取得了一定成效,处方质量得到了显著提高。

关键词: 处方干预, 门诊药房, 精神专科

Abstract: Objective To explore how to improve the quality of prescription by prescription intervention in the mental hospital outpatient pharmacy. Methods The retrospective study was used to analyze all the intervened prescriptions from January 2016 to December 2017 in hospital outpatient pharmacy, and the unreasonable prescriptions were classified and evaluated to analyze the cause of error and improve measures. Results A total of 683 cases of prescription interventions were conducted from 2016 to 2017, and the unreasonable prescription rate of intervention decreased from 2.21‰ in 2016 to 1.15‰ in 2017 (χ2 =36.313, P <0.05). The composition difference of unreasonable prescriptions in 2016 and 2017 was statistically significant (χ2 =20.599, P <0.05). In 2016, the success rate of prescription interventions was 79.1%, and in 2017, it was 84.7%. The difference in success rate of interventions between two years was not statistically significant (χ2 =3.230, P =0.072). Conclusion Through the joint development of real-time interventions and administrative interventions, prescription interventions have achieved certain success and the quality of prescriptions has been improved significantly.

Key words: prescription intervention, outpatient pharmacy, mental hospital

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