我院2013-2015年门急诊处方不合理因素的帕累托图分析  

Pareto Chart Analysis of Unreasonable Factors of Prescription in Outpatient and Emergency Departments of Our Hospital during 2013-2015

作　　者：董志强[1] 赵剑锋[1] 罗燕梅[1] 张国龙[1] 杨旸[2] DONG Zhiqiang;ZHAO Jianfeng;LUO Yanmei;ZHANG Guolong;YANG Yang(Dept. of Pharmacy,Nanjing Jiangning Hospital,Nanjing 211100,China;Dept. of Medical office,Nanjing Jiangning Hospital,Nanjing 211100,China)

机构地区：[1]南京市江宁医院药学部,南京211100 [2]南京市江宁医院医务处,南京211100

出　　处：《中国药房》2017年第17期2340-2342,共3页China Pharmacy

摘　　要：目的:了解我院门急诊不合理处方的总体现状,为临床合理用药提供参考。方法:汇总分析我院2013-2015年门急诊处方点评结果,将不合理处方归纳为3类,共涉及19个项目,应用帕累托图分析造成不合理处方的主要、次要及一般因素。结果:19项不合理处方类型中,遴选药品不适宜、用法用量不适宜、联合用药不适宜、未按抗菌药物管理规定开具处方和处方诊断不全为主要因素;无适应证用药和处方用药量超"急三慢七"规定为次要因素;其余12项为一般因素。结论:临床药师根据主要、次要不合理用药类型有针对性地进行干预和药学服务,可提高合理用药水平,保障临床用药安全。OBJECTIVE:To investigate the current situation of unreasonable prescriptions in outpatient and emergency departmentsof our hospital,and to provide reference for rational drug use in the clinic.METHODS:The evaluation of outpatient andemergency prescriptions in our hospital during2013-2015were summarized and analyzed.Irrational prescriptions were divided into3categories,involving19items.The main,secondary and general factors of irrational prescriptions were analyzed by Pareto chart.RESULTS:Among19types of irrational prescriptions,main factors included unsuitable drug selection,inappropriate usage anddosage,inappropriate drug combination,prescribing not in accordance with the antibiotics management regulations,incomplete diagnosis.No indications of medication,drug dosage beyond the regulations of“three urgent seven slow”were treated as the secondaryfactors.Other12items were general factors.CONCLUSIONS:According to the main and secondary irrational drug use types,clinical pharmacists should carry out effective intervention and pharmaceutical care to improve the level of rational drug use and ensurethe safety of clinical drug use.

关 键 词：处方点评 不合理处方 帕累托图 门诊 急诊 

分 类 号：R969.3[医药卫生—药理学]