某院门诊心内科处方点评结果帕累托法分析

Pareto Analysis of the Results of Prescription Reviews in Outpatient Cardiology Department of a Hospital

目的通过调查分析某医院不合理处方情况,提出解决措施,保证患者合理用药。方法借助处方点评系统,利用回顾性分析方法对解放军总医院第一医学中心门诊心内科2022年8月至2023年4月45796张处方进行点评分析,用帕累托法分析处方不合理的原因。结果经点评后合理处方41313张,不合理处方4483张,处方合理率90.21%,处方不合理率9.79%。帕累托法分析显示主要不合理类型是无适应证用药(1809张,35.86%)、选药不适宜(1266张,25.10%),次要不合理类型是超剂量用药(1031张,20.44%),一般不合理类型是用法不适宜(632张,12.53%)、相互作用(260张,5.15%)、重复给药(46张,0.91%)。结论该院门诊心内科处方存在不合理之处,针对帕累托法显示的主要不合理类型提出解决方案,提高处方的合理率。

Objective:The solutions to ensure rational drug use for patients through investigation and analysis of the unreasonable prescriptions in a hospital.Method:A retrospective analysis method was used to review and analyze 45,796 prescriptions,with the help of prescription review system,in the outpatient cardiology department of the First Medical Center of the PLA Comprehensive Hospital from August 2022 to April 2023,and the reasons for the unreasonable prescriptions were analyzed by Pareto method.Result:There were 41,313 reasonable prescriptions and 4,483 unreasonable prescriptions,with the rational rate of 90.21%and irrational rate of 9.79%.Pareto analysis showed that the main irrational type was drug use without indication(1,809 cases,35.86%),and inappropriate drug selection(1,266 cases,25.10%),that the secondary irrational type was overdose drug use(1,031 cases,20.44%),and that the general irrational type was inappropriate usage(632 cases,12.53%),interaction(260 cases,5.15%),and the repeated administration(46 cases,0.91%).Conclusion:There were irrational prescriptions in the outpatient cardiology department of the hospital.Therefore,solutions were put forward to improve the rational rate of prescriptions according to the main irrational types displayed by Pareto method.