上海医药
上海醫藥
상해의약
Shanghai Medical & Pharmaceutical Journal
2015年
21期
53-56
,共4页
朱彩红%黄彩玲%王鹏%郑雪琼
硃綵紅%黃綵玲%王鵬%鄭雪瓊
주채홍%황채령%왕붕%정설경
门诊%急诊用药分析
門診%急診用藥分析
문진%급진용약분석
outpatient%emergency%prescription
目的:分析医院门急诊处方书写质量和不合理用药情况,以提高医院处方书写质量,促进合理用药。方法:抽查2014年1月-12月南方医科大学第五附属医院门急诊处方5856张,采用逐张审查方式审核,从书写规范性及用药合理性角度,判断不合理处方并进行归类分析。结果:5856张门急诊处方中,不合理处方率为7.85%(460/5856),门诊共选取4051张处方,其中不合理处方率为6.44%(261/4051),急诊共选取1805张处方,其中不合理处方率为11.02%(199/1805),门诊与急诊不合理处方率比较差异无统计学意义(P>0.05);门急诊不合理处方主要表现为书写不合格、溶媒选用不合理、用药方法不合理、药物选择不合理、药物联合应用不合理、抗菌药物应用不当与重复用药,其中抗菌药物应用不当处方率明显高于其他不合理处方率,比较差异具有统计学意义(P<0.05)。结论:我院门急诊处方尚存在较多书写不合格与不合理用药情况,药师应强化处方审核、调配与核对门急诊处方,及时发现和纠正不合理用药,保证患者用药安全、经济、有效。
目的:分析醫院門急診處方書寫質量和不閤理用藥情況,以提高醫院處方書寫質量,促進閤理用藥。方法:抽查2014年1月-12月南方醫科大學第五附屬醫院門急診處方5856張,採用逐張審查方式審覈,從書寫規範性及用藥閤理性角度,判斷不閤理處方併進行歸類分析。結果:5856張門急診處方中,不閤理處方率為7.85%(460/5856),門診共選取4051張處方,其中不閤理處方率為6.44%(261/4051),急診共選取1805張處方,其中不閤理處方率為11.02%(199/1805),門診與急診不閤理處方率比較差異無統計學意義(P>0.05);門急診不閤理處方主要錶現為書寫不閤格、溶媒選用不閤理、用藥方法不閤理、藥物選擇不閤理、藥物聯閤應用不閤理、抗菌藥物應用不噹與重複用藥,其中抗菌藥物應用不噹處方率明顯高于其他不閤理處方率,比較差異具有統計學意義(P<0.05)。結論:我院門急診處方尚存在較多書寫不閤格與不閤理用藥情況,藥師應彊化處方審覈、調配與覈對門急診處方,及時髮現和糾正不閤理用藥,保證患者用藥安全、經濟、有效。
목적:분석의원문급진처방서사질량화불합리용약정황,이제고의원처방서사질량,촉진합리용약。방법:추사2014년1월-12월남방의과대학제오부속의원문급진처방5856장,채용축장심사방식심핵,종서사규범성급용약합이성각도,판단불합리처방병진행귀류분석。결과:5856장문급진처방중,불합리처방솔위7.85%(460/5856),문진공선취4051장처방,기중불합리처방솔위6.44%(261/4051),급진공선취1805장처방,기중불합리처방솔위11.02%(199/1805),문진여급진불합리처방솔비교차이무통계학의의(P>0.05);문급진불합리처방주요표현위서사불합격、용매선용불합리、용약방법불합리、약물선택불합리、약물연합응용불합리、항균약물응용불당여중복용약,기중항균약물응용불당처방솔명현고우기타불합리처방솔,비교차이구유통계학의의(P<0.05)。결론:아원문급진처방상존재교다서사불합격여불합리용약정황,약사응강화처방심핵、조배여핵대문급진처방,급시발현화규정불합리용약,보증환자용약안전、경제、유효。
Objective: To analyze the writing quality of prescription issued at outpatient and emergency departments and irrational medication so as to improve the writing quality of prescription and promote rational medication.Methods: Five thousand eight hundred and fifty-six prescriptions in 2014 were randomly checked and examined one by one. The irrational prescriptions were classiifed and analyzed.Results: The irrational prescriptions accounted for 7.85% (460/5 856) in all 5 856 prescriptions and 6.44% (261/4 051) in total 4 051 outpatient prescriptions and 11.02% (199/1 805) in total 1 805 emergency prescriptions. The comparison of irrational prescriptions between outpatient and emergency departments showed no statistical signiifcance (P>0.05). The irrational prescription appeared mainly in unqualiifed writing, the selection of unqualiifed solvent, method for medication, selection and combination of drugs, the application of antibacterial agents and their repeated medication. The rate of irrational prescription in antibacterials was higher than the others (P<0.05).Conclusion: There still exist many unqualified writing of prescriptions and irrational medication in our hospital and pharmacists should strengthen the audit, deployment and check of the prescriptions at outpatient and emergency departments, timely ifnd and correct irrational medication so as to ensure the safe, economical and effective medication.