门诊不合理处方现状与分析

The present situation and analysis of irrational out-patient clinic prescriptions

目的:保障患者用药安全,促进合理用药。方法:随机抽查我院2008年门诊处方13569张,根据临床药理学知识及文献资料,对不合格处方和不合理用药进行分类和统计分析。结果:不合格处方共611张,占调查处方的4.5%,不合理用药处方共431张,占不合格处方的70.5%。不合理用药多为重复用药、联合用药不当、用法不当。结论:将用药信息及时反馈给临床医师,旨在规范处方的正确书写和减少药物的不合理使用。

Objective： To ensure the patients＇s medication and to promote rational drug use. Methods： 13 569 out-patient prescriptions in 2008 in our hospital were randomly selected, in which the irrational prescriptions and irrational drug use were classified and analyzed statistically based on clinical pharmacological knowledge and literatures. Results： The irra- tional prescriptions were 611 pieces which amounted for 4.5%. 431 pieces were irrational prescriptions （70.5% of the total） involved irrational drug use like repeated drug application, improper combination. Conclusion： To reduce the irrational drug use, clinicians should be provided with timely feedbacks on medication information to doctors.