我院门诊2013年1-9月不适宜处方分析

Analysis of Irrational Prescriptions in the Outpatient Department of Our Hospital during Jan.-Sept.2013

目的:为临床合理处方用药提供参考。方法:按照《处方管理办法》,对2013年1-9月我院门诊妇产科、儿科、内科处方进行审核,并将审核结果进行统计分析。结果:共审出1 203张不适宜处方,其中用法、用量错误占总体不适宜处方的72.57%,有潜在临床意义的相互作用和配伍禁忌的处方占14.80%,用药存在禁忌证的处方占5.07%,重复给药的处方占3.74%,选用剂型与给药途径不适宜的处方占3.16%,规定必须做皮试的药品未做皮试的处方占0.66%。结论:药师对处方进行适宜性审核非常必要,通过审核能最大限度的防止不适宜用药以及用药差错对患者产生的损害。

OBJECTIVE： To provide reference for the rational prescription use in clinic. METHODS： According to the Prescriptions Administrative Policy, the outpatient prescriptions of gynaecology and obstetrics department, peadiatrics department and internal medicine department were rechecked during Jan.-Sept. in our hospital. The results of prescription check were analyzed statistically. RESULTS： There were 1 203 inappropriate prescriptions, including usage and dosage errors （72.57%）, potential interaction and incompatibility （ 14.80 % ）, medication contraindications （5.07 % ）, repeated administration （3.74 % ）, irrational administra- tion route and dosage form （3.16 % ） and missed skin test （0.66 % ）. CONCLUSIONS： It is necessary to check the rationality of prescriptions by pharmacists. This procedure can protect patients from the damage of inappropriate drug use and medication error to the utmost.