CAJ | 학술논문

目的：对不合理处方进行统计分析，提高患者用药的安全性和有效性。方法通过我院药师对2012年第三季度672张不合理处方的分析，揭示我院门诊处方中的常见问题。通过药师对医师、患者面临不合理处方的事前干预总结，提出一些减少不合理处方、改善医患关系的对策。结果不合格处方存在的问题主要为处方修改、用法用量和书写规范性；药师的事前干预是减少不合理处方的基础。结论处方合格率的上升、患者用药安全性和有效性的保证，在一定程度上，依赖于药师不合理处方的事前干预。
목적：대불합리처방진행통계분석，제고환자용약적안전성화유효성。방법통과아원약사대2012년제삼계도672장불합리처방적분석，게시아원문진처방중적상견문제。통과약사대의사、환자면림불합리처방적사전간예총결，제출일사감소불합리처방、개선의환관계적대책。결과불합격처방존재적문제주요위처방수개、용법용량화서사규범성；약사적사전간예시감소불합리처방적기출。결론처방합격솔적상승、환자용약안전성화유효성적보증，재일정정도상，의뢰우약사불합리처방적사전간예。
Objective To statistically analyze the irrational prescriptions and to improve the safety and effectiveness of medication . Methods The pharmacists in our hospital analyzed 672 unreasonable prescriptions in 2012 ,in order to reveal the common problems of outpatient prescription .Some countermeasures ,which could reduce the number of unreasonable prescriptions and improve the doctor-patient relationship ,were proposed through the prior intervention summary of pharmacists to the irrational prescriptions be-tween doctors and patients .Result The main problems of the unqualified prescriptions were prescription changes ,the usage and dosage ,and the normative writing .The prior intervention of pharmacist was the essential to reduce the irrational prescriptions . Conclusion The rational ratio improvement of clinicians′prescriptions ,and the improvement of the safety and efficacy of the drug using ,in some certain ,relay on the pharmacists′prior intervention to the irrational prescriptions .