2013年度开封市儿童医院门急诊处方分析  

Analysis of Outpatient & Emergency Prescriptions in Kaifeng Municipal Children's Hospital in 2013

作　　者：时艳平 

机构地区：[1]开封市儿童医院药学科,河南开封475000

出　　处：《中国医院用药评价与分析》2015年第4期545-547,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:调查门急诊处方,分析不合格处方中存在的问题,促进合理用药。方法:抽取开封市儿童医院2013年每月15日门急诊处方13 272张,依据《处方管理办法》、《临床用药须知》(2010版)、《抗菌药物临床应用指导原则》、药品说明书等资料评价其是否合格,对不合格处方进行统计分析。结果:不合格处方811张,其中书写不规范处方563张,占69.42%;用药不适宜处方248张,占30.58%。不合理用药主要有适应证不适宜、无指征用抗生素、选药不适宜、用药频次/剂量不适宜、用药途径不适宜、配伍禁忌、重复给药等。结论:该院处方基本合格,但仍有不合理之处,医院应加强处方书写与合理用药的管理,提高合理用药水平。OBJECTIVE：To investigate the problems lie in the irrational outpatient ＆ emergency prescriptions so as to improve rational use of drug. METHODS： 13 272 outpatient ＆ emergency prescriptions collected （15 days monthly） from Kaifeng Children＇s Hospital in 2013. The irrational prescriptions were classified and analyzed statistically in accordance with ＂Prescription Management Method＂, ＂Notice for Clinical Medication＂ （2010 edition）, ＂Guiding Principles for Clinical Antibiotic Use＂ and package inserts etc. RESULTS： There were 811 irrational prescriptions, of which, 69. 42% were non- standard in prescription writing and 30. 58% inappropriate in drug use. The irrational use of drugs manifested as inappropriate in indications, antibiotic use without indications, improper in drug selection, DDDs/dosage or route of administration, contraindications and repeated drug use. CONCLUSION： The outpatient ＆ emergency prescriptions in Kaifeng Children＇s Hospital were rational on the whole yet there are still some problems. It is important to tighten management on the prescription writing and rational use of drugs so as to improve the level of rational use of drugs.

关 键 词：门急诊处方 合理用药 药品管理 

分 类 号：R926[医药卫生—药学]