摘要
目的:通过对首都医科大学密云教学医院门诊不合理处方实施事前干预措施,促进临床合理用药,保障患者用药安全、有效。方法:对2010—2011年我院门诊药师干预的564例不合理处方及典型用药进行回顾性分析。结果:2010—2011年我院门诊不合理处方事前干预质量和数量逐步提高,不合理处方涉及的患者以老年人居多,涉及的药物以心血管系统用药和抗感染药最多,不合理用药情况复杂多样,其中以用法与用量不适宜、联合用药不适宜及药物规格和数量录入错误较常见。结论:不合理处方事前干预能及时而有效地保障患者的用药安全,应不断改进和完善不合理处方事前干预的各项措施,提高处方质量和合理用药水平,保证医疗安全。
OBJECTIVE： To implement intervention measures on irrational prescriptions in advance in outpatient department of Miyun Teaching Hospital of Capital Medical University so as to promote clinical rational drug use and ensure the safety and effectiveness of patients＇ medication. METHODS： A total of 564 irrational prescriptions intervened by outpatient pharmacists of our hospital from 2010 to 2011 were analyzed retrospectively with the typical drug use analyzed as well. RESULTS： There was gradual improvement in both the quality and the quantity ofintervention on irrational outpatient prescriptions beforehand in our hospital during 2010-2011. The elderly patients were predominantly involved in irrational prescriptions. The cardiovascular system drugs and anti-infective agents were most frequently involved in irrational prescriptions. The irrational drug use had varied and complicated presentation, with irrationality in usage and dosage, drug combination, entry error in drug specifications and quantity topping the list. CONCLUSION： Intervention on irrational prescriptions beforehand can timely and effectively ensure patients＇ safe drug use. Multiple intervention measures in advance aimed at irrational prescriptions should be improved and perfected constantly to improve the prescription quality and rational drug use and ensure medication safety.
出处
《中国医院用药评价与分析》
2012年第6期566-569,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
不合理处方
处方干预
事前干预
处方审核
用药分析
Irrational prescriptions
Intervention on prescriptions
Intervention in advance
Prescription checking
Analysis of drug use
