我院2010年儿科门急诊处方调查与分析

Investigation and Analysis of Pediatric Outpatient Prescriptions in Our Hospital in 2010

目的:调查我院儿科门急诊处方情况,促进合理用药,保障患儿用药安全有效。方法:抽查我院儿科2010年1～12月18000张门急诊处方,按照新的《医院处方点评管理规范(试行)》、《抗菌药物临床应用指导原则》及2005年版《中国药典临床用药须知》等,对处方的书写和用药情况进行总结和分析。结果:我院儿科门急诊处方在处方书写、处方合理用药等方面存在不规范,主要有使用商品名(10.56%)、单张处方药物种数超规定(5.57%)、用法用量错误(4.43%)、不合理使用抗菌药物(3.89%)、联合用药不当(3.87%)、剂量及剂型错误(3.83%)等。结论:我院儿科门急诊处方用药存在一些用药不合理、处方不规范现象,应进一步加强医院处方的规范管理,提高处方书写质量,促进合理用药,保障患者用药安全有效。

Objective： To investigate the medication used in out-patient department and improve the quality of prescription writing;strengthen the dispensing management of prescriptions and ensure the safety and effectiveness of the medicines use.Methods： Randomly 18,000 out-patient or emergency prescriptions during the year 2010 were sampled and analyzed to summarize the prescriptions according to Management Standard of Hospital Prescription Comments,Instructions of the Clinical Application of Antibiotics or Pharmacopoeia of People＇s Republic of China（2005 edition）.Results： Some problems existed in the format,writing and use of drugs in our hospital＇s prescriptions.Conclusions： Although the out-patient prescriptions of our hospital are reasonable on the whole,the quality of the prescription writing should be further improved for rational drug use.