门诊处方点评及不合理用药分析

目的:通过对医院门诊处方抽查分析,了解不合理用药情况,提高合理用药水平。方法:以随机抽样法抽查常州市第二人民医院2010年5月—2011年2月门诊处方2 000张,筛查统计不合理处方,并选择具有代表性的不合理处方进行分析。结果:不合理处方共146张,占7.30%,主要表现为处方用药与诊断不相符、存在不良药物相互作用、选用剂型和给药途径不当、同类药物重复使用等。结论:针对存在的问题应制定必要的措施,加强药师与医师之间的交流,不断提高药师审核处方的能力和力度,提高临床合理用药水平。

Comment of Outpatient Prescription and Analysis of Irrational Drug Use

OBJECTIVE:To conduct a spot check on the outpatient prescriptions in an effort to probe in to the irrational drug use and improve clinical rational drug use level.METHODS: A total of 2 000 outpatient prescriptions randomly collected between May 2010 and February 2011 in our hospital were reviewed to screen the irrational prescriptions,with representative ones analyzed.RESULTS: Of all the prescriptions reviewed,7.3%(146/2 000) were irrational.The irrationality manifested as inconformity between drug use and diagnosis,drug interactions,improper in dosage and route of administration,and repeated administration of the drugs of the same kind etc.CONCLUSION: Essential measures aimed at strengthening communication between pharmacists and physicians and improving pharmacists’ capability in prescription comments should be taken to improve clinical drug use level.