摘要
目的 :分析我院门诊不合理处方的用药情况及原因,并提出解决措施,促进合理用药。方法 :收集我院门诊2016年1-12月所有不合理处方,采用回顾性调查方法对登记的不合理处方情况进行统计,采用帕累托图分析造成不合理用药处方的主要、次要及一般因素。结果 :用法用量不适宜占比74.11%,为造成门诊不合理用药处方的主要因素;无次要因素;药品剂型或给药途径不适宜、重复用药、书写不规范或不清楚、有配伍禁忌或不良相互作用、适应证不适宜、单张处方超过5种药品的累计百分比落在92.02%~100%之间,为一般因素。结论 :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,制定出相应的干预措施,对主要因素进行控制,有助于我院合理用药水平的提高。
Objective:To analyze the drug use and the relevant reasons in irrational prescriptions in the outpatient service of Kunming Children's Hospital, and put forward the measures to promote the rational drug use. Methods:All the irrational prescriptions from January to December 2016 were collected from the outpatient service in this hospital, on which a retrospective investigation was conducted to count the status of registered irrational prescriptions. The major, minor and general factors of irrational prescriptions were analyzed by pareto diagram. Results:Inappropriate usage and dosage(74.11%) was the major cause of irrational prescriptions in outpatient service, while no secondary factor was found. However, the cumulative percentages of inappropriate form or administration route, repeat administration, nonstandard or unclear writting, incompatibility or adverse interaction, inappropriate indications, more than five kinds of drugs in a single prescription were 92.02%~100%, which were general factors of irrational prescriptions. Conclusions:According to the type of irrational drug use, the pharmacist should provide effective intervention and pharmaceutical care, and developed appropriate intervention measures to control the main factors, which is contributed to improving the level of rational drug use in this hospital.
出处
《中国执业药师》
CAS
2017年第4期15-17,26,共4页
China Licensed Pharmacist
关键词
儿科
不合理处方
帕累托图分析
Pediatrics
Irrational Prescriptions
Pareto Diagram Analysis
