2246张麻醉药品处方点评与分析  

Review and Analysis on 2246 Prescriptions with Narcotic Drugs

作　　者：黄菲 钱晓萍[1] 

机构地区：[1]南京医科大学附属苏州医院/苏州科技城医院药学部,江苏苏州215153

出　　处：《中国医院用药评价与分析》2017年第11期1577-1579,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨南京医科大学附属苏州医院/苏州科技城医院(以下简称"我院")麻醉药品处方的合理性,以提升处方质量。方法:对2016年8—12月我院2 246张麻醉药品处方进行点评与分析。结果:2 246张麻醉药品处方中,不合理处方371张(占16.5%);每月不合理处方数呈逐月下降趋势。麻醉药品不合理处方分布于麻醉科、肿瘤科、重症加强护理病房、消化内科及普外科,麻醉科、肿瘤科的不合理处方数较多;主要类型包括处方前记缺项,"毒、麻、精、放"药品处方未执行国家有关规定,用法与用量缺项,用法与用量不合理,处方修改未签名及未注明修改日期等。结论:我院麻醉药品处方存在一定不合理现象,临床药师严格按照国家规定审核麻醉药品处方,并及时反馈给临床医师,可促进临床麻醉药品的合理应用。OBJECTIVE： To probe into the rationality of prescriptions of narcotic drugs in Suzhou Hospital Affiliated to Nanjing Medical University/Suzhou Science Technology Town Hospital（ hereinafter referred to as ＂our hospital＂）,so as to promote the quality of prescriptions. METHODS： 2 246 prescriptions of narcotic drugs of our hospital from Aug. to Dec. in 2016 were reviewed and analyzed. RESULTS： Among the 2 246 prescriptions,there were 371（ 16. 5%） irrational prescriptions; the number of irrational prescriptions presented a downtrend month by month. Irrational prescriptions of narcotic drugs were distributed in departments of anesthesiology,oncology,ICU,gastroenterology and general surgery,mostly were in anesthesiology department and oncology department; main types included lacunas of prescription preface,national regulations were not implemented in prescriptions of ＂toxic drugs,narcotic drugs,psychotropic drugs and radioactive drugs＂,lacunas of usage and dosage,irrational usage and dosage,no signature or no date in prescription modifying,etc. CONCLUSIONS： The prescriptions of narcotic drugs in our hospital is at a certain levels of irrationality,clinicians should examine and verify these prescriptions in strict accordance with national regulations,and timely report the results back to physicians,so as to promote the rational application of clinical narcotic drugs.

关 键 词：住院药房 麻醉处方 不合理处方 

分 类 号：R969.3[医药卫生—药理学]