从处方分析入手促进合理用药

Rational Drug Utilization Promoted from the Begining of Prescription Analysis

通过对1992年10月至1996年7月门诊和住院部126110张处方分析得出结论:处方书写错误计5219张(4.14％);属调剂人员差错处方计951张(0.75％);配伍不合理处方计1701张(1.35％);不合格处方共计7871张,(6.24％),其合格率为93.76％<98％。其原因:①新药增多;②病人多科就诊;③跨科用药;④人情方、大处方;⑤对疾病急于求成、选择昂贵的药品及多种抗菌药联用;⑥“突击”使用药库积压的效期药品;⑦调剂人员缺乏严格“把关”。改进措施:①根据病人病情、体质制定用药方案;②搜集临床用药资料,汇编药物手册;③对病人以专科治疗为主,并作好用药记录;④严格掌握抗生素联用指征,对处方限数量、限品种、限金额;⑤控制药库进药品种、数量;⑥加强药剂人员专业训练,提高业务素质;⑦从处方分析入手,促进合理用药。

126 110 pieces of prescriptions of in-and out-patients in Oct. 1992 to Seven 1996 were analysed. The analytical conclusion was: (1) 5 219 pieces of mis writing prescription (4.14%); (2) 951 pieces of misadminnistering drugs (0.75%); (3) 1 701 pieces of incompatibility (1.35%); (4) total 7 871 pieces of unqualified prescriptions (6.24%), its qualified rate was 93.76% 98%. The mistaken causes were: (1) increased newer drugs; (2) patients' presenting of multiple depart- merits;(3) drug utilization of cross-department; (4) extended prescriptions and relational prescriptions; (5) combined use of multiple antibacterials and selection of expensive drug; (6) urgent use of effective period drug reserved; (7)absence of responsibility in pharmacists. The improving measures were: (1) to work out dosage scheme according to patient's disease and constitution; (2) to collect drug materials and write medicine handbook; (3) special department for patient's presenting and well recording; (4) to strictly master the indication of combind use on antibiotics, and limit species, number. and amount of money; (5) to control the species and number of drug entered; (6) to raise the professional level for pharmacists; (7) to promote rational drug utilization from the begining of prescription analysis.