我院2008年急诊不合理用药处方分析

Analysis of our hospital emergency unreasonable in 2008 prescription drug

目的:通过对不合理的处方进行调查分析,促进和提高合理用药水平。方法:随机抽取我院门诊34282张急诊处方,根据药品的说明书、临床药理学知识,对不合理用药处方进行分析。结果:本组处方不合理率为4.20%,不合理用药主要反映在给药方案、重复用药、剂量、溶媒、用法、药理拮抗、配伍、毒性相加及禁忌证用药等方面。结论:医院门诊不同程度地存在不合理用药现象,应积极开展合理用药宣传,大力倡导和支持临床药师深入临床,与医师一道努力促进合理用药。

Objective： To investigate the prescription unreasonable analysis, promote and improve the level of rational drug use. Methods： 34 282 emergency prescriptions were randomly sampled in our hospital, accorded to the manual medicine, clinical pharmacology expertise, to an analysis of prescription drug unreasonable. Results： The unqualified rate of the outpatient prescriptions in this group was 0.87%, irrational drug use was mainly a reflection of irrational drug use in the administration of the program, repeated drug use, dosage, solvent, use of pharmacological antagonists, compatibility, toxicity and the sum of the areas of drug contraindication. Conclusion： There is the phenomenon of irrational drug use in our hospital outpatient in different extent, rational drug use should be actively carried out propaganda, and vigorously advocate and support the clinical depth of clinical pharmacists, and physicians work together to promote rational drug use.