应用药学服务友情提示卡对门诊不合理处方实施干预

Intervention Practice of Irrational Out-patient Prescriptions by Pharmaceutical Service Cards

目的:通过事前干预不合理处方,提高门诊合理用药水平。方法:建立药学服务友情提示卡,就药师审方时发现的不合理内容与医师进行处方调配前沟通;并对我院门诊2007年5月～2009年5月不合理处方进行干预。结果与结论:不合理处方主要表现在剂量、用法不正确,选用剂型与给药途径不合理,未注明过敏试验及结果的判定等。应用药学服务友情提示卡对不合理处方进行干预,使干预门诊处方存在问题的关口前移,患者用药的安全性显著提高。

OBJECTIVE： To perform intervention on irrational prescriptions beforehand and to improve rational use of drugs. METHODS： Pharmaceutical service cards were set up to interfere in irrational out-patient prescriptions from May 2007 to May 2009. Pharmacists who found unreasonable content of prescription communicated with physicians before dispensing medicine. RESULTS CONCLUSIONS： Irrational prescriptions mainly manifest as wrong dosage and usage, unreasonable dosage form and administration route, unmarked sensitivity test and its result, etc. The problems of irrational out-patient prescriptions are found much earlier through intervention by pharmaceutical services cards to improve the safety of drug use in patients significantly.