门诊不合理电子处方分析

Analysis of Unreasonable Electronic Prescriptions in Outpatient Department

目的:了解门诊不合理电子处方情况,促进临床合理用药,保障患者用药安全。方法:对2014年7月—2015年1月药师审方中干预的门诊不合理电子处方进行回顾性分析。结果:不合理用药电子处方355张,不合理方面主要为输入错误、遴选药品不适宜、用量不适宜、适应证不适宜、诊断与用药不符、溶剂量过多或过少、重复用药、联合用药不合理、配伍禁忌等。其中,输入错误处方数居首位,为150张,占42.25%。结论:应加强对临床医师信息化方面知识的培训,使其熟练掌握临床医师工作站的操作;同时,药师可通过对不合理电子处方进行事前干预,以促进临床合理用药。

OBJECTIVE：To investigate the conditions of unreasonable electronic prescriptions in the outpatient department, and to promote the clinical rational drug use then to guarantee the safety of drug use in patients. METHODS：Retrospective analysis of the intervention unreasonable electronic prescriptions in the verification of pharmacists in the outpatient department from 2014 Jul. to 2015 Jan. was conducted. RESULTS：Unreasonable drug use of electronic prescriptions were 355, which mainly included the following unreasonable aspects： the input errors, the unsuitable selection of drugs, the unsuitable dosage of drugs, the unsuitable indications, diagnosis and medication discrepancies, too much or too little solvent quantity, repeated drug use, combined with unreasonable drugs and incompatibility. Also, the input errors occupied the first place, totally included 150 prescriptions, and accounting for 42. 25%. CONCLUSIONS： The train of the informatization knowledge on clinician should be strengthened, which would make the clinician masters the operation skills in the work station;meanwhile, the pharmacists can intervene the unreasonable electronic prescriptions ahead, so as to promote the clinical rational drug use.