我院372951张门/急诊处方分析

Analysis and Evaluation of Prescriptions in Outpatient and Emergency Departments of Our Hospital

目的:了解门急诊处方不合理用药情况,促进医院合理用药。方法:抽取我院2009年门急诊处方,以《处方管理办法》、《新编药物学》及《中华人民共和国药典·临床用药须知》为依据,按2010年新颁发的《医院处方点评管理规范(试行)》标准,从处方书写规范性及用药合理性角度,判断不合理处方并进行归类分析。结果:不合理处方1568张,占总处方数的0.42%,其中书写不规范、用药不合理处方各占不合理处方总数的24.55%、75.45%,前者主要表现为医师随意延长用药疗程、处方前记与患者信息不符等,后者主要表现为用法用量不适宜、适应证不适宜、遴选的药品不适宜等。结论:我院门急诊处方书写及用药情况基本合理,但仍存在一定问题,需进一步改善和提高。

OBJECTIVE： To investigate the situation of the irrational drug use in outpatient and emergency departments and to improve the rational drug use. METHODS： Prescriptions of outpatient and emergency department were collected from our hospital in 2009. The irrational prescriptions were classified and analyzed in respect of writing and rationality of drug use according to Prescription Management, New Edited Pharmacy, Chinese Clinical Drug Use Principle and Hospital Prescription Evaluation and Management （trial） issued in 2010. RESULTS： There were 1 568 irrational prescriptions, accounting for 0.42%. 24.55% were non-standard in writing and 75.45% were resulted in irrational drug use. Non-standard writing of prescriptions manifested as long treatment duration, prescription introduction not in conformity with patients information. Irrational drug use manifested as unsuitable dosage and usage, unsuitable indication and unsuitable drugs, etc. CONCLUSION： The writing and drug use in prescriptions in the outpatient and emergency departments of our hospital were rational basically, but there are still some problems. These aspects should be further improved.