药师处方审核工作质量的再评价

Quality Reassessment of Pharmacist's Prescription Checking

目的提高药师处方审核准确性,为临床合理化用药管理提供参考。方法通过对2016年度处方审核中存在的干预错误进行回顾性研究,分析并归类药师在处方审核中存在的误区。结果处方干预错误率在心内科、综合内科、神经内科较高,分别占0.6%,0.24%和0.23%;干预错误处方中用药依据判断不准确、联合用药判断不准确和重复给药判断不准确居前3位,比例分别为25.11%,22.98%和17.45%。结论药师应定期总结分析处方审核中存在的误区,以个体化治疗思想为指导,加强多学科知识学习,为合理用药保驾护航。

Objective To improve the accuracy of prescription checking and provide reference for rational drug administration.Methods Intervention mistakes exsisting in prescription checking in 2016 were retrospectively studied to analyze pharmacist’s misunderstanding during prescription checking.Results The error rate of prescription intervention was higher in department of cardiology,department of general internal medicine and department of neurology,accounting for 0.6%,0.24%and 0.23%,respectively.Inaccurate prescriptions for intervention,inaccurate medication and inaccurate repeat injections ranked the top 3 of erroneous prescriptions,with the proportions of 25.11%,22.98%and 17.45%,respectively.Conclusion Pharmacists should regularly summarize the misconceptions existed in the prescription audit,take individualized medication thoughts as guidance,strengthen the multi-disciplinary knowledge learning.