2010—2012年2628张不合理处方分析

Analysis of 2628 Irrational Prescriptions During 2010-2012

目的:了解厦门长庚医院不合理处方情况,促进临床合理用药。方法:通过医院信息系统(HIS)收集我院2010—2012年不合理处方,每月定期汇总分析院内不合理处方发生的原因。结果:不合理处方共2 628张,其中以门诊处方最多,共1 570张,占59.74%,其次为住院处方576张,占21.92%,急诊处方482张,占18.34%;常见不合理原因包括处方签错误、医师批输错误等。结论:应加强对我院不合理处方的归纳总结,进行信息化设置及系统提示措施,并进行相关教育训练,以提升药师专业素质与能力,与其他医疗工作者相互配合,尽可能减少不合理用药现象。

OBJECTIVE：To investigate the irrational prescriptions in Xiamen Changgeng Hospital to promote clinical rational use of drugs. METHODS： The irrational prescriptions in our hospital between 2010 and 2012 were collected from HIS system and the causes of the irrational prescriptions were analyzed monthly. RESULTS ： There were a total of 2 628 irrational prescriptions, of which, outpatient prescriptions took the lead with 1 570 （ 59.74% ）, followed by inpatient prescriptions （576, accounting for 21.92% ） and emergency prescriptions with 482 （ 18.34% ）. The common causes for irrational prescriptions included prescription error and doctors＇ typing error etc. CONCLUSION： It is important to intensify summarization and analysis of irrational prescriptions in our hospital, take measures such as initiate information-based setting and system prompt and conduct related education training in an attempt to enhance pharmacists＇ professional quality and capability. Meanwhile, pharmacists should cooperate with other medical staff so as to try to reduce the incidence of irrational prescriptions.