医院简易门诊人群用药安全隐患分析及防范措施  

Rational use of medication at walk-in clinic in hospitals

作　　者：李连新[1] 汤青[2] 付燕霞[1] 

机构地区：[1]北京军区总医院药剂科,100700 [2]武警北京总队卫生队

出　　处：《中国医药》2012年第12期1613-1614,共2页China Medicine

摘　　要：目的规范医院简易门诊医疗行为，保证就诊人群用药安全、有效、合理、经济。方法通过对简易门诊就诊人群相关调查，分析就诊时可能发生的一些用药隐患，并提出相应的防范措施。结果本次调查人数共510人，其中包括：长期来院就诊患者198人（38．8％）、代购药者98人（19．5％），持外院处方或病历本购药者85人（15．4％）、“道听说”购药者42人（8．2％）、外地打工人员87人（17．3％）。用药隐患产生的原因主要体现在：简易门诊就医流程不够明确、个别医师责任心有待进一步提升、就诊人群用药的不规范等几个方面。结论提升管理水平，拓展服务层面，优化就医流程，方便群众看病，最大限度避免安全用药隐患的发生。Objective To standardize medical action and to ensure the safety of the medication among walk-in clinic visitors. Methods Totally 510 walk-in cases were investigated and the potential drug safety hazard was analyzed and the preventive measures were proposed. Results Totally 510 people were investigated, including 198 long-time patient （ 38.8% ）, 98 patients purchasing drugs for others （ 19.5% ）, 85 purchasing drugs with prescription or with case history from other hospitals （ 15.4% ）, 42 coming on hearsay （ 8.2% ） and 87 were out-of- town employee （ 17.3% ）. The potential problems were as follows： the clinical steps were not clear enough; sense of responsibility of some doctors was not strong enough and some drugs were not used rationally. Conclusions Improving the management and optimizing medical treatment process may minimize the occurrence of potential medication hazards.

关 键 词：用药隐患 简易门诊 防范措施 

分 类 号：R9[医药卫生—药学]