门诊不合理大处方成因分析  

Causes analysis of unreasonable large prescription in outpatient

作　　者：邹蔼珍[1] 吴雪峰[1] 庞惠民[1] 廖穗青[2] 

机构地区：[1]深圳市龙岗中心医院,广东深圳518116 [2]广东药学院,广东广州510006

出　　处：《中国医药科学》2013年第1期142-144,共3页China Medicine And Pharmacy

摘　　要：目的通过分析本院门诊大处方存在问题,控制大处方,提出解决问题措施。确保患者用药安全有效。方法采用回顾性调查方法,随机抽查门诊2011年每月1000张300元以上处方,共12000张,按照《处方管理办法(试行)》规定的要求,对不合格处方和不合理用药进行分类和统计分析。结果 12000张大处方中不合理处方为15.34%,其中不规范处方为11.83%,用药不适宜处方为2.63%,超常处方为0.88%。结论不规范处方可通过应用电子处方系统得到有效改进,不适宜处方和超常处方存在一定的用药安全隐患,是造成不合理用药的主要因素,是处方监控和审查的重点。Objective To control large prescription and propose solutions through analyzing the existing problems in the outpatient of our hospital.To ensure the drug safety for patients. Methods Using the retrospective investigation method, 1 000 outpatient prescriptions over 300 yuan from each mouth were randomly selected（a total of 12 000 prescriptions）.The disqualified prescriptions and unreasonable drug use were classified and analyzed statistically. Results Of the 12 000 large prescriptions,unreasonable prescriptions accounted for 15.34%,including 11.83% of nonstandardized prescriptions,2.63% of inappropriate drug use prescriptions and 0.88% of supernormal prescriptions. Conclusion Non-standardized prescriptions can be controlled through applying the electronic prescription system. Inappropriate prescriptions and supernormal prescriptions have certain potential drug use safety hazard, are the main factors of unreasonable drug use, and are the focus of monitoring and review.

关 键 词：门诊大处方 不合理用药 不规范处方 不适宜处方 超常处方 

分 类 号：R197.3[医药卫生—卫生事业管理]