门、急诊超说明书用药处方分析与对策研究

Analysis and countermeasures on irregular usage of drug prescription in outpatient section and emergency room

目的为规范医院超说明书用药行为提供对策参考。方法抽取合山市人民医院2013年1-6月门、急诊处方,根据药品说明书内容,统计分析其中超说明书用药情况。结果统计得出超说明书用药处方63张,该院超说明书用药行为主要包括:超适应证用药、超剂量用药、改变用药方法和给药途径、超适用人群用药等4类。结论门、急诊超说明书用药情况较为普遍,患者用药存在安全隐患,建议相关部门及早制订超说明书用药管理规范,以保障患者的用药安全。

Objective To provide suggestion and reference for standardizing irregular usage of drug prescription in hospi‐tal .Methods Prescriptions of outpatient section and emergency room in Heshan People′s Hospital were extracted from January to June 2013 .The behavior of irregular usage drug prescription was statistically analyzed according to the content of drug in‐structions .Results 63 irregular usage of drug prescriptions were found ,involving off‐indication use ,overdose ,change in med‐ication method and route of administration ,and usage beyond the scope of intended patient population .Conclusion irregular usage of drug prescription is common in outpatient section and emergency room ,w hich putting patient medication at risk .We recommend that medication management standards should be developed as soon as possible by the relevant departments to en‐sure patient′s safety .