23450张门诊处方质量分析

Quality analysis of 23 450 outpatient prescriptions

目的了解门诊处方质量现状及存在的问题,为临床合理用药提供参考。方法随机抽取门诊处方共23 450张为研究对象,根据《处方管理办法》、《医院处方点评管理规范(试行)》、药品说明书及公开的文献资料,将不合格处方按不规范处方、用药不适宜处方、超常处方3种类型进行统计、分析。结果抽查的处方中,合格处方22043张,占抽查处方的94%,不合格处方1 407张,占抽查处方的6%。结论门诊处方质量有待提高,临床医师和药师应加强合理用药知识学习,通过处方审核和处方点评等干预措施,提高处方质量,促进合理用药。

Objective To analyze the quality and problems of the outpatient prescriptions to give a guidance for clinical rational drug use.Methods A total of 23450 outpatient prescriptions were randomly selected as the research object.According to The Prescription Administrative Policy,The Management Standard of Hospital Prescription,drug package inserts and the published literature,the unqualified outpatient prescriptions were counted and analyzed on the basis of the non-standard prescriptions,inappropriate medication prescriptions,and off-label use prescriptions. Results Among the 23 450 checked prescriptions,22043（94%）were qualified,and 1407（6%）were unqualified.Conclusion It is necessary to improve the quality of outpatient prescriptions in our hospital.In order to improve the prescription quality and promote rational drug use,physician and pharmacist should improve their knowledge about drugs and the intervention measures by checking prescription and comment on prescription.