2012～2014年我院门诊不合理处方的干预分析

Intervention Analysis and Improvement Measures on Irrational Outpatient Prescriptions between 2012 and 2014

目的探讨在门诊西药房如何通过处方干预提高处方质量,充分发挥药师在临床治疗中的作用。方法对门诊西药房2012年1月~2014年12月全部处方干预进行回顾性研究,对其中的不合理处方进行分类、统计和评价,分析导致错误发生的原因和避免措施。结果 2012~2014年处方干预共计445例,不合理处方率从2012年2.4下降为2014年0.6(P=6.6×10^(-32),P<0.05),涉及科室包括皮肤科、心脏内科、内分泌科、耳鼻喉科和消化内科。结论我院处方干预工作取得成效,对仍然存在的开立处方不够规范现象,应加强处方书写及合理用药的管理,不断改进和完善处方干预的各项措施,充分发挥药师的专业作用。

Objective To probe into how to improve prescription quality and play the role of pharmacists in clinical treatment by means of prescription intervention. Methods The retrospective study was used to analyze data from the whole outpatient prescriptions between 2012 and 2014. The examples of irrational prescriptions were classified and analyzed. The reasons of errors were given, and the countermeasures were suggested. Results There were 455 irrational prescriptions intervened from 2012 to 2014. The rate of the irrational prescriptions was reduced from 2.4 to 0.6（P =6.6×10^（-32）, P 0.05）. Dermatology, cardiology internal, endocrinology, otolaryngology and gastroenterology were most frequently involved in irrational prescriptions. Conclusion Interventions are effective. There were still problems in prescription writing and rational drug use, which need further improvement in order to ensure the patient＇s safety. Pharmacists must play the role of professionals.