西药房门诊处方点评和不合理处方分析  

Comment on outpatient prescriptions and analysis of irrational prescriptions in western pharmacies

作　　者：何瑞连 余文飞 HE Ruilian;YU Wenfei(Department of Pharmacy,Yunfu City Chronic Disease Prevention and Control Center,Guangdong Province,Yunfu 527300,China)

机构地区：[1]广东省云浮市慢性病防治中心药剂科,527300

出　　处：《临床合理用药杂志》2021年第31期4-7,共4页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的分析西药房门诊处方不合理情况,找出相应的改进措施,提高用药合理性。方法随机抽取云浮市慢性病防治中心西药房2020年1-6月门诊处方1200张,对处方进行点评,分析不合理处方情况。结果1200张处方中,合理处方1125张,合理率为93.75%;不合理处方75张,不合理率为6.25%。不合理处方包括不规范处方、不适宜处方和超常处方,同时存在2种不合理处方类型的处方19张占25.33%,只存在1种不合理处方类型的处方56张占74.67%。结论西药房门诊处方存在一定不合理性,应加强HIS系统学习和设置,加强审方系统建设,为合理用药提供设备基础,同时,健全相关规章制度,促进医师和药师的学习,更新知识,提高审核水平,减少不合理处方,促进合理用药和安全用药。Objective To analyze the unreasonable situation of outpatient prescriptions in western pharmacies,find out corresponding improvement measures,and improve the rationality of medication.Methods Randomly selected 1200 outpatient prescriptions from the Western Pharmacy of Yunfu Chronic Disease Prevention and Control Center from January to June 2020,commented on the prescriptions,and analyzed the situation of unreasonable prescriptions.Results Among the 1200 prescriptions,1125 were reasonable prescriptions,with a reasonable rate of 93.75%;75 irrational prescriptions,with an irrational rate of 6.25%.Irrational prescriptions included irregular prescriptions,unsuitable prescriptions for medication,and abnormal prescriptions.19 prescriptions with two irrational conditions at the same time accounted for 25.33%,and 56 prescriptions with only one irrational condition accounted for 74.67%.Conclusion There is a certain irrationality in outpatient prescriptions in western pharmacies.The learning and setting of the HIS system should be strengthened,and the construction of the review system should be strengthened to provide the equipment basis for the rational use of drugs.At the same time,the relevant rules and regulations should be improved to promote the learning of physicians and pharmacists,update knowledge,and improve review level,reduce irrational prescriptions,and promote rational and safe drug use.

关 键 词：西药房 门诊处方 处方审核 合理用药 改进措施 

分 类 号：R95[医药卫生—药学]