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门诊不合理用药处方帕累托图分析 被引量:31

Analysis of Pareto diagram on irrational prescription in our hospital
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摘要 目的分析我院门诊不合理用药处方的情况及原因。方法筛选本院门诊处方,将不合理用药处方归纳为8类,用帕累托图法分析造成不合理用药处方的主要、次要及一般因素。结果造成门诊不合理用药处方的主要因素:遴选药品不适宜、适应证不适宜和无指征使用抗菌药物;次要因素:联合用药不适宜和重复给药;一般因素:用法或用量不适宜、无正当理由超说明书用药和药品剂型或给药途径不适宜。结论临床药师根据不合理用药类型有针对性地进行有效干预和药学服务,提高合理用药水平。制定出相应的干预措施,对主、次要因素进行控制。 Objective To analyze the situation of irrational drug use in our hospital.Methods The irrational prescriptions were classified into 8kinds.The Pareto diagram analysis was used to make irrational prescriptions classification.The factors of primary,secondary and common were analyzed.Results Three primary factors about irrational prescriptions were in unsuitable drugs,Indication and no identifies use anti-biotics.The secondary factors were inappropriate combined drugs and repeated administration.Common factors were unsuitable usage and amount,ultra instruction,frequency and unsuitable route of administration.Conclusion Clinical pharmacist should intervene effectively according to irrational types,raising the level of rational use of medicines develop appropriate interventions,control primary and secondary factors.
出处 《中国临床药理学杂志》 CAS CSCD 北大核心 2015年第13期1325-1327,共3页 The Chinese Journal of Clinical Pharmacology
关键词 门诊不合理用药 处方 帕累托图分析 outpatient irrational drug use prescription Pareto diagram analysis
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