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目的:了解我院门诊处方质量,了解处方中存在问题,以提高处方质量。方法:对我院2012年1月~6月处方每日随机抽取150张,根据《处方管理办法》和临床药学知识对27300张处方进行分析归纳。结果:27300张处方中,不合格处方有395张,占抽查总数的1.45%。其中用法用量不合理,临床诊断与用药不符,配伍不合理发生率较高。结论:不合格处方绝大部分是书写不规范处方,主要集中在手写处方上,若全部使用电子处方合格率会有所提升。用药不适宜处方表现多样,主要原因是医生对药品的药动学、药剂学、药效学等药学理论知识了解不够,有待于认真学习提高。
Objectives: To understand the quality of outpatient prescriptions in our hospital and to understand the problems in prescriptions so as to improve the quality of prescriptions. Methods: A total of 150 prescriptions were randomly selected from January to June in 2012 in our hospital. Based on the “prescription management approach” and clinical pharmacy knowledge, 27300 prescriptions were analyzed and summarized. Results: Of the 27300 prescriptions, 395 were unqualified prescriptions, accounting for 1.45% of the total number of spot checks. Among them, the usage and dosage are unreasonable, the clinical diagnosis is inconsistent with the medication and the unreasonable compatibility is higher. Conclusion: The majority of unqualified prescriptions are non-standard prescriptions, mainly concentrated in handwritten prescriptions. If all the electronic prescriptions are used, the pass rate will be improved. Prescriptions unfavorable medication performance is diverse, the main reason is that doctors do not understand the pharmacokinetic theory, pharmacology, pharmacodynamics and other pharmacological theory knowledge, need to seriously study and improve.