针对性预防管理西药房处方调剂的效果  

Effect of Targeted Prevention Management on Prescription Dispensing in Western Pharmacy

作　　者：梁海燕 章明 Liang Haiyan;Zhang Ming(Chifeng Songshan Hospital,Chifeng 024000,Inner Mongolia Autonomous Region,China)

机构地区：[1]赤峰松山医院,内蒙古自治区赤峰024000

出　　处：《中外医药研究》2024年第31期153-155,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨针对性预防管理西药房处方调剂的效果。方法:回顾性选取2020年2月—2023年2月赤峰松山医院西药房处方200张。2020年2月—2021年2月采用常规性西药管理(实施前),2021年3月—2023年2月采用针对性预防管理,各100张。比较实施前后处方差错率并分析其产生原因,比较实施前后处方合理用药情况、患者医疗投诉率及用药满意度。结果:实施后处方差错率低于实施前(P=0.030);处方差错原因包括处方书写不清楚、药师责任心不强、药师配药不正确、未严格核对处方、药师专业水平低、药师交代不清楚、药品摆放不规范。实施后配伍、给药途径、给药剂量、给药时间合理率均高于实施前(P<0.001);实施后医疗投诉率低于实施前,用药满意度高于实施前(P<0.05)。结论:西药房处方调剂产生差错的原因包括处方书写不清楚、药师责任心不强、药师配药不正确、未严格核对处方、药师专业水平低、药师交代不清楚、药品摆放不规范,针对性预防管理效果较常规性西药管理效果好,能够提高处方合理用药率,降低医疗投诉率,提高患者用药满意度。Objective:To explore the effect of targeted prevention management on prescription dispensing in western pharmacy.Methods:A total of two hundred prescriptions from the Western Pharmacy of Chifeng Songshan Hospital from February 2020 to February 2023 were retrospectively selected.From February 2020 to February 2021,conventional western medicine management were adopted(before implementation),and targeted prevention management were adopted from March 2021 to February 2023,with one hundred pills each.The prescription error rate was compared before and after implementation,and the causes were analyzed.The rational use of prescription,the rate of medical complaints and the satisfaction of medication were compared before and after implementation.Results:The prescription error rate after implementation was lower than before implementation(P=0.030);the reasons for prescription errors include unclear prescription writing,weak responsibility of pharmacists,incorrect prescription dispensing,not strictly checking prescriptions,low professional level of pharmacists,unclear replacement of pharmacists,and irregular placement of drugs.The compatibility,route,dose and time of administration were higher after implementation than before implementation(P<0.001);the rate of medical complaints after implementation was lower than before implementation,and the satisfaction of medication was higher than before implementation(P<0.05).Conclusion:The causes of prescription dispensing errors in western pharmacies include unclear prescription writing,weak sense of responsibility,incorrect dispensing,not strictly checking prescriptions,low professional level of pharmacists,unclear replacement of pharmacists,and irregular placement of drugs.The effect of targeted prevention management is better than that of conventional western medicine management,which can improve the rate of rational drug use,reduce the rate of medical complaints,and improve patients'satisfaction with drug use.

关 键 词：西药房 处方调剂 针对性预防管理 合理用药 

分 类 号：R95[医药卫生—药学]