摘要
目的 分析社区医院全科门诊处方常见问题,规范处方管理,提高处方书写质量,促进临床合理用药.方法 随机抽取社区医院全科门诊西药、中成药、中药饮片处方各400份,根据《处方管理办法》、《医院处方点评管理规范（试行）》对其进行点评、分析.结果 西药不合理处方率为18.8％ （75/400）,中成药不合理处方率为13.3％ （53/400）,中药饮片不合理处方率为12.5％ （50/400）.其中西药书写不规范处方占94.7％（71/75）,中成药书写不规范处方占60.4％ （32/53）,中药饮片书写不规范处方占68.0％（34/50）.西药用药不适宜处方占5.3％（4/75）,中成药用药不适宜处方占39.6％（21/53）,中药饮片用药不适宜处方占32.0％（16/50）.无超常处方.结论 全科门诊处方存在较多问题.门诊医生需要加强《处方管理办法》的学习,提高处方书写质量,规范处方管理,促进临床合理用药.
Objective To comprehensively analyze all outpatient prescriptions made by the community hospital,thus standardize prescriptions management,improve the quality of prescriptions hand-writing,promote clinical rational drug use.Methods Doctors randomly selected 100 general outpatient prescriptions,including western medicines,Chinese patent medicines and Chinese herbal medicines for a total of 1200 prescriptions in a community hospital from April 2012 to January 2012.According to the Prescription Management Rules and Comments On The Hospital Prescription Management Instrumentation,all selected prescriptions were analyzed.Results In the total 1200 outpatient prescriptions,the ratio of unreasonable prescriptions in western medicines,Chinese patent medicines and Chinese herbal medicines took 18.8 percent（75/400）,13.3 percent（53/400） and 12.5 percent（50/400） respectively.In non-standard handwriting prescriptions,the share of western medicine,Chinese patent medicine and Chinese herbal medicine accounted for 94.7 percent （71/75）,60.4 percent （32/53） and 68.0 percent （34/50）.Also,in unqualified prescriptions of drug use,the rate of western medicine,Chinese patent medicine and Chinese herbal medicine took 5.3 percent （4/75）,39.6 percent （21/53） and 32.0 percent （16/50）.There were no unusual prescriptions.Conclusions There are more problems of general outpatient prescriptions,and the rate of qualified prescriptions is not high.Clinic doctors need to strengthen the study of The Prescription Management Method,improve the quality of prescription writing.Doctors and pharmacists should work together to standardize prescription management and improve clinical drug use.
出处
《中国医药》
2013年第8期1175-1176,共2页
China Medicine
关键词
门诊处方
处方点评
处方分析
Outpatient prescriptions
Comments on prescriptions
Analysis of prescriptions
