某院1665张门急诊不合理用药处方原因分析及其对策  

Analysis on 1 665 Prescriptions of Unreasonable Causes for Out-patient and Emergency Medications in a Hospital and Its Countermeasures

作　　者：张玲 丁增林 于丽[2] ZHANG Ling;DING Zeng-lin;YU Li(Department of Pharmacy,The People's Hospital of Luyi County,Luyi Henan 477200,China;Department of Pharmacy,The No.7 People’s Hospital of Zhengzhou,Zhengzhou 450016,China)

机构地区：[1]鹿邑县人民医院药剂科,河南鹿邑477200 [2]郑州市第七人民医院药学部,郑州450016

出　　处：《抗感染药学》2020年第1期17-20,共4页Anti-infection Pharmacy

摘　　要：目的:分析医院门急诊处方质量存在的问题及不合格用药处方的原因及其解决对策。方法:抽取医院2017年6月-2019年5月期间门急诊处方14 400张进行点评,分析其不合格处方科室的分布及不合格用药类型的分布,总结门急诊处方点评中存在的问题,寻找提高门急诊处方质量的方法。结果:14 400张不合格处方中,其中1 665张用药处方不合格(占11.56%),科室分布以儿科、内分泌科、肿瘤科处方不合格率分别为22.60%、20.72%和16.74%;不合格类型中不规范处方238张(占14.29%)、不适宜处方1 412张(占84.80%)和超常处方15张(占0.90%);给药剂量不足(占43.36%)是存在的主要问题。结论:门急诊处方点评是提高门急诊处方质量、推动临床合理用药、保障患者用药安全的有效方法;通过处方点评加强了医院门急诊医疗质量管理(处方合格率达88.44%),促进了合理用药。Objective: To analyze the quality problems of outpatient and emergency prescriptions and the causes of unqualified prescriptions and its countermeasures. Methods: 14 400 prescriptions of outpatient and emergency from June 2017 to May 2019 were selected for review,the distribution of unqualified prescription departments and the distribution of unqualified medication types were analyzed,the existing problems in outpatient and emergency prescription review were summarized,and methods to improve the quality of outpatient and emergency prescription were found. Results: Among the 14 400 unqualified prescriptions,1 665 prescriptions were unqualified(accounting for 11.56%),and the unqualified rates of prescriptions in pediatrics,endocrinology and oncology departments were 22.60%,20.72% and16.74%,respectively. There were 238 non-standard prescriptions(14.29%),1 412 inappropriate prescriptions(84.80%)and 15 abnormal prescriptions(0.90%). Underdosing(43.36%) was the main problem. Conclusion: Outpatient and emergency prescription comments were an effective method to improve the quality of outpatient and emergency prescription,and to promote the rational use of clinical medicine and the safety of patients’ medication were ensured.Through prescription comments,the quality management of outpatient and emergency medical treatment in hospitals were strengthened(the prescription acceptance rate reached 88.44%) and rational drug use was promoted.

关 键 词：门急诊处方 处方点评 不合格处方 解决对策 

分 类 号：R969.3[医药卫生—药理学]