门(急)诊常见不合理处方分析  

The Analysis of Common Irrational Outpatient and Emergency Prescriptions

作　　者：赵亮[1] 冯孟林[1] 靖百谦[1] 韩永涛[1] 周文[1] 

机构地区：[1]山东大学齐鲁医院药剂科,山东济南250012

出　　处：《药品评价》2011年第4期30-32,共3页Drug Evaluation

摘　　要：目的:保障患者用药安全,促进合理用药。方法:随机抽查2010年1～6月门急诊处方19662张,对其中不合理处方进行分类统计并分析。结果:不合理处方共421张,不合格率为2.14%。其中不规范处方共292张,占不合理处方的69 4%;不适宜用药处方共129张,占不合理处方的30.6%。不规范处方问题主要有处方各项内容不完整、无特殊情况下超量给药、医师开错剂量等;不适宜处方多为临床诊断与用药不符、给药频次错误、给药途径错误、溶媒选择不适宜等。结论:医院、医师及药师三方共同努力,建立合理用药的培训和监督机制,是解决门(急)诊不合理用药的关键。Objective： To ensure the safety of medication use and to promote rational drug use. Methods：19662 outpatient and emergency prescriptions in the first 6 months of 2010 in our hospital were randomly selected, in which the irrational prescriptions and irrational drug use were classified and analyzed statistically based on clinical pharmacological knowledge and literatures. Rosults： The irrational prescriptions were 421 which amounted for 2.1%, among of which 292 were irregular prescriptions （69.4% of the irrational prescriptions） involved incomplete prescription content, large dose without reasonable grounds and prescribed the wrong drug for the negligence.129 pieces were inappropriate prescriptions （30.6% of the irrational prescriptions） involved irrational drug choice, unreasonable administration etc. Conelusion Hospital, physicians and pharmacists should make a joint effort to establish the training and monitoring mechanism about rational use of drug. This is the key to reduce the irrational drug use in the outpatient and emergency department.

关 键 词：不合理处方 分析 合理用药 

分 类 号：R95[医药卫生—药学]