论文部分内容阅读
目的通过对门诊处方书写常见问题的分析,促进临床合理用药水平的提高。方法对2013年的门诊2848张普通处方中对每张处方的诊断、用药品种数、药品通用名、抗菌药物的使用、注射剂的使用、国家基本药物的使用以及抗菌药物的分级管理和抗菌药物的联合应用情况进行点评和分析。结果有88张处方存在不合理现象,占3.08%,其中,处方书写不规范共计80张、处方用药不适宜5张、未按照抗菌药物临床应用管理办法开具抗菌药物处方的有3张,分别占全部抽查处方的比率为2.8%、0.18%、0.1%。结论门诊处方存在书写不规范处方的多一些,可以避免的问题,适应证不适宜的抗菌药物,需加强《处方管理办法》和《抗菌药物临床应用指导原则》的学习。
Objective To analyze the common problems of prescription writing in outpatients and promote the improvement of clinical reasonable medication. Methods A total of 2848 general prescriptions in 2013 were diagnosed, the number of drugs used, the generic name of drugs, the use of antibacterials, the use of injectables, the use of national essential drugs, and the hierarchical management of antibacterials and antibacterials Joint application of comments and analysis. As a result, 88 prescriptions were unreasonable, accounting for 3.08%. Among them, there were 80 non-standard prescriptions, 5 unfavorable prescriptions, 3 antibacterials not prescribed according to the clinical application of antibacterials, accounting for The proportion of all random checks was 2.8%, 0.18% and 0.1%. Conclusion There are some prescriptions out of prescription in outpatient prescriptions. Some problems that can be avoided and inappropriate antibacterials for indications need to be strengthened by the “prescription management approach” and the “Guiding Principles of Clinical Application of Antibacterial Drugs”.