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目的分析我院眼科门诊电子处方存在的问题,探讨改善我院门诊处方质量的措施,提高处方质量。方法随机抽取我院2008年1月-12月眼科门诊电子处方2 400张,分析处方不合理情况,统计不合理处方比例。结果不合理处方96张,占所抽取处方的4.00%。其中年龄与诊断不符的6张,占不合理处方的6.25%;用法用量不符合要求的32张,占不合理处方的33.30%;诊断与用药不符的7张,占不合理处方的7.29%;用药周期过长的28张,占不合理处方的29.17%;无医师修改章的8张,占不合理处方的8.33%;药物配伍禁忌的4张,占不合理处方的4.17%;重复用药的11张,占不合理处方的11.46%。结论电子处方的实行大大降低了不合理处方的发生,但仍应进一步对门电子处方系统功能进行完善并加强药师审核处方的水平与力度,提高我院门诊处方的质量。
Objective To analyze the problems existing in the electronic prescription of ophthalmology outpatient department in our hospital and to explore the measures to improve the quality of outpatient prescription in our hospital so as to improve the quality of prescriptions. Methods A total of 2 400 electronic prescriptions for ophthalmology clinics in our hospital from January to December in 2008 were randomly selected to analyze unreasonable prescriptions and statistics on the proportion of unreasonable prescriptions. 96 unreasonable prescriptions, accounting for 4.00% of the prescriptions taken. Among them, 6 were inconsistent with age and diagnosed, accounting for 6.25% of unreasonable prescriptions; 32 cases that did not meet the requirements for usage and dosage, accounting for 33.30% of unreasonable prescriptions; 7 cases which did not match diagnosis and treatment, accounting for 7.29% of unreasonable prescriptions; The medication period is too long, 28, accounting for 29.17% of unreasonable prescriptions; no physician to amend the chapter 8, accounting for 8.33% of unreasonable prescriptions; drug compatibility taboo 4, accounting for 4.17% of unreasonable prescriptions; repeated medication 11, accounting for 11.46% of unreasonable prescriptions. Conclusions The implementation of electronic prescription greatly reduces the occurrence of unreasonable prescriptions. However, the functions of electronic prescription prescriptions should be further improved and the level and intensity of pharmacist reviews and prescriptions should be further improved so as to improve the quality of outpatient prescriptions.