出院带药不合理处方402张点评分析

Analysis of 402 pieces of irrational prescriptions for discharge

目的 分析出院带药的不合理处方并提出干预措施,以进一步提高临床出院带药处方的合理性.方法 收集18 506张出院带药处方,由处方点评工作小组对上述处方做出点评.统计分析出院带药不合理处方的分类项目及其构成比.结果 18 506张出院带药处方不合理处方402张,不合理处方率为2.17%.其中321张为不规范处方,占79.85%,81张为不适宜处方,占20.15%.321张不规范处方中,以＂医师不规范签名、签章＂最多,有74张,占23.05%;＂药物剂量、规格、数量错误＂次之,有69张,占21.50%;第三为＂过敏试验未注明＂,有53张,占16.51%;81张用药不适宜处方中,＂药物用法、剂量不适宜＂最多,有51张,占62.96%,其次为＂不适宜联合用药＂,有22张,占27.16%.结论 通过处方点评,对出院带药不合理处方进行分析,并与临床科室加强交流,可促进临床的合理用药,提高临床用药的安全性.

Objective To analyze the unreasonable prescription of the discharged drug and to propose the intervention measures to further improve the rationality of the prescription.Methods 18 506 pieces of hospital discharge prescriptions were collected,and the above prescriptions were commented by the prescription review working group.The classified items and their constituent ratios of irrational prescriptions for discharge were statistically analyzed.Results The irrational prescription of this study was 402 pieces,and the unreasonable prescription rate was 2.17%.Of which 321 pieces were not standardized prescriptions, accounting for 79.85%, 81 pieces for the inappropriate prescriptions, accounting for 20.15%.321 pieces of non-standard prescription, ＂doctors do not regulate the signature and seal up＂ 74 pieces, accounting for 23.05%,＂drug dosage, specification, number of errors ＂ 69 pieces,21.50%,the third＂ allergy test does not indicate ＂ 53 pieces,accounting for 16.51%;81 pieces inappropriate medication prescription,＂ usage of the drug, did not suitable for most,51 pieces,62.96%,followed by ＂not suitable for combination＂ 22 pieces, accounted for27.16%.Conclusion Through the prescription review, the discharge of drug irrational prescription analysis, and strengthen exchanges with clinical departments can promote the clinical rational drug use, improve the safety of clinical medication.