中药处方分析在药学服务中的应用价值及对用药安全的影响  

The Application Value of Traditional Chinese Medicine Prescription Analysis in Pharmaceutical Services and its Impact on Medication Safety

作　　者：赵陆平 顾佳瑜 ZHAO Luping;GU Jiayu(Department of Pharmacy,Haimen District Fifth People’s Hospital,Nantong 226131,China)

机构地区：[1]南通市海门区第五人民医院药剂科,南通226131

出　　处：《中国医药指南》2024年第32期154-156,共3页Guide of China Medicine

摘　　要：目的探讨中药处方分析在药学服务中的应用价值及对用药安全的影响。方法本研究选取2023年1月至2024年1月南通市海门区第五人民医院门诊开出的中药处方2000张,将2023年1月-6月中未经处方分析的1000张中药处方设为对照组,将2023年7月至2024年1月中采用处方分析的1000张中药处方设为观察组。比较两组中药调剂差错率、单张中药处方味数及不合理处方占比。结果观察组剂量错误、用药与诊断不符、处方录入差错、重复用药及漏配或配错等差错率比对照组低(P<0.05)。观察组1~5味、6~10味中药处方占比高于对照组,11~15味、16~20味和>20味比对照组低,两组6~10味、11~15味和16~20味差异有统计学意义(P<0.05)。观察组诊断与规定不符、药物用量有误、药物搭配有误、脚注及煎煮方式不当、用药重复、患者信息缺失、调剂人员未签名、有两项以上不合理问题占比均较对照组均更低(P<0.05)。结论中药处方分析在药学服务中能减少差错和不合理情况发生,加大用药安全。Objective To explore the application value of traditional Chinese medicine(TCM)prescription analysis in pharmaceutical services and its impact on medication safety.Methods This study selected 2000 TCM prescriptions dispensed at the outpatient department of the Fifth People’s Hospital of Haimen District,Nantong City,from January 2023 to January 2024.The 1000 TCM prescriptions dispensed from January 2023 to June 2023 without prescription analysis were set as the control group,and the 1000 TCM prescriptions dispensed from July 2023 to January 2024 with prescription analysis were set as the observation group.The study compared the prescription dispensing error rates,the number of ingredients per prescription,and the proportion of unreasonable prescriptions between the two groups.Results The error rates for dosage mistakes,medication not matching the diagnosis,prescription entry errors,duplicate medication,and missing or incorrect dispensing in the observation group were lower than those in the control group(P<0.05).The proportion of TCM prescriptions with 1-5 and 6-10 ingredients in the observation group was higher than in the control group,while the proportions of 11-15,16-20,and more than 20 ingredients were lower,with statistically significant differences in the proportions of 6-10,11-15,and 16-20 ingredients between the two groups(P<0.05).The proportions of diagnoses not matching regulations,medication dosage errors,incorrect medication combinations,improper footnotes and decoction methods,medication repetition,missing patient information,lack of dispensing personnel signature,and prescriptions with two or more unreasonable issues in the observation group were all lower than in the control group(P<0.05).Conclusions TCM prescription analysis in pharmaceutical services can reduce errors and unreasonable situations.

关 键 词：中药处方分析 药学服务 价值分析 用药安全 

分 类 号：R969.3[医药卫生—药理学]