应用帕累托图分析某医院门诊临界差错处方  

Pareto chart analysis of critical error prescriptions in outpatient prescription of a hospital

作　　者：陈晓芸 夏丽萍 许小飞 王媛媛[1] CHEN Xiaoyun;XIA Liping;XU Xiaofei(Pharmacy department,The Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院药学部,合肥230601

出　　处：《中国处方药》2025年第7期52-56,共5页Journal of China Prescription Drug

摘　　要：目的对某医院门诊临界差错处方进行分析,针对性制定改进措施,降低临界差错处方发生率,规范临床合理用药。方法通过帕累托图分析法,对2023年1月~2024年5月某院门诊药房统计的临界差错处方类型、临界差错处方药品剂型、种类等进行分析。结果临界差错处方类型前三位的依次为给药剂量不适宜、给药频次不适宜、给药途径不适宜,构成比分别为46.43%、25.90%、22.87%。帕累托分析法分析结果显示,给药剂量不适宜、给药频次不适宜为主要因素,累计构成比分别为46.43%、72.34%,其余均为一般因素;临界差错处方药品剂型主要为口服剂型,占比74.47%;临界差错处方药品种类主要为中成药、心血管系统用药、抗感染药,构成比分别为17.73%、12.41%、10.64%。结论该院门诊临界差错处方仍然存在,给药剂量与给药频次不适宜是主要因素,须实施干预措施,与医师协同努力,减少临界差错处方率,确保用药安全。Objective To analyze the critical error prescriptions in the outpatient pharmacy of a hospital,develop targeted improvement measures,reduce the incidence of critical error prescriptions,and standardize clinical rational drug use.Methods Through Pareto principle analysis,the types,dosage forms,and categories of critical error prescriptions statistically analyzed from January 2023 to May 2024 in the outpatient pharmacy of a hospital were analyzed.Results The top three types of critical error prescriptions were inappropriate drug dosage,inappropriate dosing frequency,and inappropriate route of administration,with a constituent ratio of 46.43%,25.90%and 22.87%,respectively.The results of the Pareto analysis showed that inappropriate drug dosage and inappropriate dosing frequency were the main factors,with a cumulative constituent ratio of 46.43%and 72.34%,respectively.The remaining factors were general factors;the main dosage form of critical error prescriptions was oral dosage,accounting for 74.47%;the main categories of critical error prescriptions were traditional Chinese patent medicines,cardiovascular drugs,and antibiotics,with a constituent ratio of 17.73%,12.41%and 10.64%,respectively.Conclusion There are still critical error prescriptions in the outpatient pharmacy of this hospital,and inappropriate drug dosage and inappropriate dosing frequency are the main factors.Intervention measures must be implemented in collaboration with physicians to effectively reduce the rate of critical error prescriptions and ensure medication safety.

关 键 词：门诊药房 临界差错处方 帕累托图 合理用药 

分 类 号：R95[医药卫生—药学]