我院门急诊不合理处方现状分析与对策探讨  

Current Situation of Irrational Prescriptions in Outpatient and Emergency Departments and Its Countermeasure Discussion

作　　者：史涛[1] 蒋娟[1] 林珍[1] 常花蕾[1] 

机构地区：[1]中国人民解放军第174医院药剂科,福建厦门361003

出　　处：《中国药业》2015年第2期52-54,共3页China Pharmaceuticals

摘　　要：目的促进临床合理用药,保障患者用药安全。方法依据《处方管理办法》《医院处方点评管理规范》(试行)等相关文件的处方点评标准,对2012年7月至2013年9月医院抽查的门、急诊不合理处方进行分类统计,并分析其不合理原因。结果在抽查的645份不合理处方中,不规范处方467张(72.40%),不适宜处方182张(28.22%),超常处方15张(2.32%);不合理处方的问题主要集中在临床诊断与用药不符或诊断不全,药品用法、用量不适宜和抗菌药物的应用不合理等方面。结论门急诊处方总体用药情况较合理,但仍存在一些问题,医院应加大合理用药监管力度,医师、药师应加强业务学习和责任心,促进安全、有效、经济地使用药品。Objective To promote the rational drug use in clinic for ensuring the medication safety of patients. Methods According to the prescriptions comments standard in the related documents of the Prescriptions Management Method and the Hospital Prescriptions Comments Management Standard（on trial）,the irrational prescriptions by spot check in the outpatient and emergency departments from July 2012 to September 2013 were performed the classified statistics and their irrational causes were analyzed. Results Among 645 pieces of irrational prescriptions by spot cheek,467 pieces（72.40% ） were irregular prescriptions,182 pieces（28.22% ） were unsuitable prescriptions and 15 pieces（2.32% ） were supernormal prescriptions. The problems in the irrational prescriptions were mainly focused on the several aspects of the clinical diagnosis unconformity to medication,or incomnplete diagnosis,impropriety of usage and dosage,and irrational use of antibacterial agents. Conclusion The outpatient and emergency prescriptions in our hospital are basically rational on the whole,but some problems still exist,which needs to be solved. The hospital should increase the intensity for the supervision on the ra tional drug use, meanwhile doctors and pharmacists should reinforce their vocational study and responsibility to promote safe, effective and economical use of drugs.

关 键 词：处方点评 不合理处方 合理用药 

分 类 号：R969.3[医药卫生—药理学] R952[医药卫生—药学]