Drug use in the pediatric outpatient department of Ningbo Women & Children's Hospital
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摘要: 目的 调查本院儿科门诊药物应用情况，总结存在的问题并分析原因，以保障患儿用药的安全性与有效性。 方法 随机抽取本院儿科2015年1月至12月的门诊处方9 000张，通过处方统计，对本院儿科门诊的药物应用情况、药品消费金额及不合理处方进行回顾性分析。 结果 按药品消费的金额排序，本院儿科常用药物的前4类为中成药、抗感染药、呼吸系统用药和消化系统用药。经处方统计，不合理用药的电子处方为122张，占1.34%，主要表现为用法与用量不合理、药品选用不当、输入错误等。 结论 本院儿科门诊用药基本合理，医生用药以中成药为主，但仍需进一步加强临床医师和药师全方位的业务培训，加强用药的合理性，减少临床上不必要的医患纠纷。Abstract: Objective To investigate the drug use in the pediatric outpatient department of Ningbo Women & Children's Hospital, summarize the existing problems and analyze the causes in order to ensure the safety and effectiveness of the drug use. Methods A total of 9 000 prescriptions were randomly sampled from January to December 2015 for the statistical analysis of the drug use, the amount of money spent on the drugs and the number of irrational prescriptions at the pediatric outpatient department in our hospital. Results Based on the amount of money spent, the four most commonly used drugs were Chinese traditional drugs, anti-infective, respiratory and digestive system drugs. A total of 122 electronic prescriptions were considered as irrational drug use (1.34%) which include improper administration method, wrong dosage or indications, computer input errors,etc. Conclusion Overall, the drug use is appropriate at the pediatric outpatient department in our hospital. The Chinese traditional drugs are the most commonly used medications. However, clinical doctors and pharmacists still need the comprehensive trainings to promote the rational drug use, which could reduce unnecessary disputes between patients and doctors.
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Key words:
- Department of Pediatrics /
- drug use /
- clinical rational use of drugs
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[1] 金靓艳, 李智平. 儿科急诊药房不合理处方分析[J]. 儿科药学杂志, 2012, 18(1):38-40. [2] 中华人民共和国卫生部. 处方管理办法[S]. 卫生部令第53号. 2007-02-14. [3] 医院处方点评管理规范(试行)[S]. 卫医管发(2010)28号. [4] 薛辛东. 儿科学[M]. 7版. 北京:人民卫生出版社, 2005:278. -
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