我院门诊汤剂不合理处方分析

A Study on Unreasonable Prescriptions in Outpatient Department in Our Hospital

目的通过干预门诊汤剂不合理处方,分析处方不合理因素,为提高门诊合理用药水平提供依据。方法由窗口审方药师审核汤剂处方,对处方中有不合理因素者,及时与医师进行沟通,并将处方中不合理因素记录在册,避免不合理处方的产生。共计回顾分析本院2011年1月-2013年5月药师在调配前干预的不合理处方663张。结果干预的不合理处方中共有709处不合理因素,其中以下3种情况居多:毒性饮片超量(73.76%),处方开具配伍禁忌未签字(12.13%),处方饮片输机错误(7.76%)。结论提前干预可提高门诊处方质量,增强患者用药的安全性和有效性。

Objective To analyze the unreasonable elements in prescriptions from outpatient department through the intervention of unreasonable prescriptions; To provide evidence for reasonable usage of medicine in outpatient department. Methods Prescriptions were examined by senior pharmacists. If they found any unreasonable elements, they would consult doctors, and record all the unreasonable elements in the prescriptions to avoid unreasonable prescriptions. A total of 663 unreasonable prescriptions from Jan. 2011 to May 2013 were analyzed. Results A total of 709 unreasonable elements were found in these prescriptions. The man elements were following three types： overdose of toxic decoction pieces （73.76%）, incompatible prescriptions without signature （12.13%）, wrong inputting of prescription and decoction （7.76%）. Conclusion With early intervention in prescriptions, the quality of prescriptions and the safety and effectiveness of medication can be improved.