中医临床研究
中醫臨床研究
중의림상연구
Clinical Journal of Chinese Medicine
2015年
26期
117-119
,共3页
中药处方%门诊处方%合理用药%处方调查
中藥處方%門診處方%閤理用藥%處方調查
중약처방%문진처방%합리용약%처방조사
TCM prescription%Outpatient prescription%Rational drug use%Investigation of prescription
目的:了解某医院门诊中药处方书写质量情况,分析处方中常见的质量问题,提高处方质量,确保中药临床应用安全有效。方法:随机抽取某医院门诊2012年1月-2013年12月期间每月开具的三日量中药处方(包括中药饮片、农本方颗粒、中成药),依据《医院处方点评管理规范》《中药处方格式及书写规范》《中成药临床应用指导原则》、“药品说明书”等对其进行点评分析。结果:2012年共抽查中药处方3530张,其中不合格处方72张;2013年共抽查中药处方3949张,其中不合格处方64张。门诊中药处方不合格率呈逐年下降的趋势,2012年为2.04%,2013年为1.62%。不合格处方主要表现在诊断不规范、缺少中医证型、药品名称不规范、药品超剂量使用等方面。结论:某院门诊中药处方质量基本合格,但仍需进一步提高。
目的:瞭解某醫院門診中藥處方書寫質量情況,分析處方中常見的質量問題,提高處方質量,確保中藥臨床應用安全有效。方法:隨機抽取某醫院門診2012年1月-2013年12月期間每月開具的三日量中藥處方(包括中藥飲片、農本方顆粒、中成藥),依據《醫院處方點評管理規範》《中藥處方格式及書寫規範》《中成藥臨床應用指導原則》、“藥品說明書”等對其進行點評分析。結果:2012年共抽查中藥處方3530張,其中不閤格處方72張;2013年共抽查中藥處方3949張,其中不閤格處方64張。門診中藥處方不閤格率呈逐年下降的趨勢,2012年為2.04%,2013年為1.62%。不閤格處方主要錶現在診斷不規範、缺少中醫證型、藥品名稱不規範、藥品超劑量使用等方麵。結論:某院門診中藥處方質量基本閤格,但仍需進一步提高。
목적:료해모의원문진중약처방서사질량정황,분석처방중상견적질량문제,제고처방질량,학보중약림상응용안전유효。방법:수궤추취모의원문진2012년1월-2013년12월기간매월개구적삼일량중약처방(포괄중약음편、농본방과립、중성약),의거《의원처방점평관리규범》《중약처방격식급서사규범》《중성약림상응용지도원칙》、“약품설명서”등대기진행점평분석。결과:2012년공추사중약처방3530장,기중불합격처방72장;2013년공추사중약처방3949장,기중불합격처방64장。문진중약처방불합격솔정축년하강적추세,2012년위2.04%,2013년위1.62%。불합격처방주요표현재진단불규범、결소중의증형、약품명칭불규범、약품초제량사용등방면。결론:모원문진중약처방질량기본합격,단잉수진일보제고。
Objective: To improve prescription quality and ensure safe and effective TCM clinical application by investigating the writing quality of outpatient TCM prescription in a hospital and analyzing the common problems of prescription. Methods: Prescriptions with TCM medicine from three days of each month in out-patient clinic were randomly checked up to analysis present status of the use of TCM medicine, based onStandard management of hospital prescription comment, Specification format and writing specifications ofTCM prescription, Guiding principles for clinical application of TCM. Results: 72 out of 3530 prescriptions were unqualified in 2012, and 64 out of 3949 were unqualified in 2013. Furthermore, the rates of unqualified prescriptions were decreased from 2.04% in 2012 to 1.62% in 2013. Unqualified prescriptions were mainly manifested for no diagnostic criteria, lack of syndromes, without specification, overdose and so on.Conclusion: The quality of TCM prescription for outpatients in the hospital is generally qualified, while it should be still improved further.