CAJ | 학술논문

目的：分析北京大学人民医院(以下简称“我院”)门诊药房用药干预实例，为制订统一规范的处方干预措施提供参考，促进临床合理用药，保障患者用药安全。方法根据医院处方点评管理规范中处方点评结果判定标准，对我院2013年1~7月门诊药师干预的处方进行统计分析，判定不合理处方类型，探讨问题处方解决方法。结果门诊药师共收集干预处方60张，占总处方数的0.13‰，其中不规范处方占40.00%，用药不适宜处方占56.67%，超常处方占3.33%。结论我院门诊存在不合理处方，处方干预能一定程度上促进处方规范性和合理性，应不断完善不合理处方干预的各项措施，提高处方质量和合理用药水平，保证患者用药安全。
목적：분석북경대학인민의원(이하간칭“아원”)문진약방용약간예실례，위제정통일규범적처방간예조시제공삼고，촉진림상합리용약，보장환자용약안전。방법근거의원처방점평관리규범중처방점평결과판정표준，대아원2013년1~7월문진약사간예적처방진행통계분석，판정불합리처방류형，탐토문제처방해결방법。결과문진약사공수집간예처방60장，점총처방수적0.13‰，기중불규범처방점40.00%，용약불괄의처방점56.67%，초상처방점3.33%。결론아원문진존재불합리처방，처방간예능일정정도상촉진처방규범성화합이성，응불단완선불합리처방간예적각항조시，제고처방질량화합리용약수평，보증환자용약안전。
Objective To analyze example of irrational prescriptions in outpatient pharmacy of Peking University Peo-ple's Hospital (“our hospital”for short), in order to provide reference for specification of intervention on prescriptions, promote the rational use of medicine and protect the safety of patients. Methods From January to July 2013, the exam-ples of irrational prescriptions in outpatient pharmacy of our hospital were analyzed retrospectively, according to the standard management of hospital prescription comment, irrational prescriptions were classified and countermeasures were suggested. Results The pharmacist intervened 60 irrational prescriptions in advance, 0.13‰ of the total outpatient prescription. Among of the irrational prescriptions, non-standard prescription was 40.00%, drug using inappropriate prescription was 56.67%, and ultra conventional prescription was 3.33%. Conclusion Irrational prescriptions still ap-pear in our outpatient, timely and effectively intervene in irrational prescription can facilitate the normalization and the rational use of drugs partly. Multiple intervention measures in advance aimed at irrational prescriptions should be im-proved and perfected constantly to improve the prescription quality and rational drug use and ensure medication safety.