深圳市宝安区妇幼保健院门诊药房处方干预的情况分析及措施

Analysis and measures of prescription intervention in outpatient pharmacy of Bao′an Maternal and Child Health Hospital in Shenzhen City

目的分析深圳市宝安区妇幼保健院(以下简称“我院”)门诊药房处方干预的情况,有针对性地对问题处方制订措施从而提高处方质量、促进合理用药、保证医疗安全。方法2018年11月~2019年12月,门诊药师在审核处方时发现不合理处方,与医生沟通进行事前干预,同时留存登记的干预处方总共429张。对这些处方相关信息进行回顾性汇总分析,对典型不合理处方进行分析讨论。结果通过事前干预,规避了问题处方的出现,其中不规范处方19张(占4.4%),不适宜处方378张(占88.1%),超常处方32张(占7.5%)。不合理处方分类中存在问题最多的是用法用量不适宜207张(占48.25%),其次是临床诊断与用药不符、超常处方、禁忌证等。结论我院门诊处方仍然存在不合理情况,应及时采取相应对策,不断地改进和完善干预措施,以提高处方质量和合理用药水平,保证医疗安全。

Objective To analyze the situation of prescription intervention in outpatient pharmacy of Bao′an Maternal and Child Health Hospital in Shenzhen City(hereinafter referred to as"our hospital"),and formulate measures to improve the quality of prescription,promote rational drug use and ensure medical safety.Methods From November 2018 to 2019 December,outpatient pharmacists found unreasonable prescriptions and communicated with doctors in advance.At the same time,a total of 429 intervention prescriptions were retained.Retrospective analysis of these prescriptions was conducted.Typical unreasonable prescriptions were analyzed and discussed.Results The unreasonable prescription was avoided by the intervention beforehand.Among them,there were 19 sheets(4.4%)with non-standard prescriptions,378 sheets(88.1%)with inappropriate prescriptions,and 32 sheets(7.5%)with abnormal prescriptions.The biggest problem in the classification of unreasonable prescriptions was 207 sheets(48.25%)with inappropriate usage and dosage,followed by clinical diagnosis and drug inconsistency,abnormal prescription and contraindications.Conclusion There is still unreasonable situation in outpatient prescription of our hospital,corresponding countermeasures should be taken in time to constantly improve and perfect the intervention measures,in order to improve the quality of prescription and rational drug use level,to ensure medical safety.