Evaluation and analysis of irrational prescriptions in outpatient and emergency department
-
摘要: 目的 通过门急诊处方书写及不合理用药情况的点评与分析,以提高处方质量,促进合理用药。 方法 2011年7月~2012年6月每月随机抽取1天门急诊处方,共14 872张,根据处方管理办法及有关文献,对处方进行审查分析。 结果 不合理处方545张,占抽查处方的3.7%,存在的问题主要有书写不规范和用药不适宜,分别占不合理处方的60.2%和39.8%。 结论 我院门急诊处方质量基本合格,但仍存在一些问题,应该进一步贯彻落实处方管理办法,提高处方质量,促进合理用药。Abstract: Objective To evaluate and analyze the prescription writing and irrational drug uses in order to improve the quality of prescription and promote rational drug use in clinic. Methods 14 872 pieces of prescriptions were randomly selected one day per month randomly in the outpatient and emergency department of our hospital from July of 2011 to June of 2012. According to the Hospital Management of Prescription, the prescriptions were reviewed and analyzed. Results 3.7%(545/14 872) prescriptions were found to be irrational. The main problems were incidences of irregularly writing and inappropriate use, which accounted for irrational prescription of 60.2% and 39.8%,respectively. Conclusion Prescriptions in outpatient and emergency department were basically rational in our hospital except some cases of misuses and the management of prescription should be implemented conscientiously to improve the quality of prescription and promote rational drug use in clinical.
-
Key words:
- prescription evaluation /
- irrational drug use /
- statistical analysis
-
[1] Tomson G. Pilot study of drug use indicators in sweden[J].INRUD News,1992,3 (1):3[2012-07-25].http://www.inrud.org/documents/upload/INRUD-News-v3i1-August-1992.pdf. [2] 李 洋,颜 虹.处方信息的分析和利用[J]. 中国医院统计2005.12(1):19. [3] 殷凯生.实用抗感染药物治疗学[M].第2版.北京:人民卫生出版社,2011:143. [4] Ahrens D,Chenot JF,Behrens G,et al.Appropriateness of treatment recommendations for PPI in hospital discharge letters[J].Eur J Clin Pharmacol,2010,66:1265.
计量
- 文章访问数: 2204
- HTML全文浏览量: 206
- PDF下载量: 66
- 被引次数: 0