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目的分析超说明书药品使用情况,探讨合理可行的处理对策。方法收集黔东南州人民医院2016年1-3月门诊处方63221张,住院用药医嘱40125条,涉及药品401种。分析本院药品超说明书使用情况。结果本院超说明书药品中超适应证占46.2%,超给药途径占41.0%,超剂量占10.3%,超使用人群占5.1%,超联合用药占5.1%。结论本院存在药品超说明书使用现象,医院需严格管理,规避超说明书用药风险。
Objective To analyze the use of drugs in super manuals and to explore reasonable and feasible treatment strategies. Methods Sixty-two thousand two hundred twenty-one outpatient prescriptions were collected from People’s Hospital of Qiandongnan Prefecture in January-March 2016 with 40,125 prescriptions for inpatients and 401 kinds of medicines. Analysis of the use of drugs over the instructions in this hospital. Results In our hospital, the super-indications accounted for 46.2%, super-administration accounted for 41.0%, overdose 10.3%, ultra-users 5.1%, and super-combination 5.1%. Conclusions There is a phenomenon that the hospital uses the super description of the medicine, and the hospital needs to be strictly managed to avoid the risk of using the super instruction manual.