我院门诊汤剂不合理处方分析.pdfVIP

2015 年1月第 22卷第1期 中国中医药信息杂志 ·117 · ·医院药学 · 我院门诊汤剂不合理处方分析 程京艳,杨静琦,何芳鸣,张静 北京积水潭医院,北京 100035 摘要：目的 通过干预门诊汤剂不合理处方,分析处方不合理因素,为提高门诊合理用药水平提供依据。 方法 由窗口审方药师审核汤剂处方,对处方中有不合理因素者,及时与医师进行沟通,并将处方中不合理因 素记录在册,避免不合理处方的产生。共计回顾分析本院 2011 年 1 月－2013年 5 月药师在调配前干预的不合 理处方 663 张。结果 干预的不合理处方中共有 709 处不合理因素,其中以下 3 种情况居多：毒性饮片超量 (73.76%),处方开具配伍禁忌未签字 (12.13%),处方饮片输机错误 (7.76%)。结论 提前干预可提高门诊处方 质量,增强患者用药的安全性和有效性。 关键词：汤剂；中药饮片；处方干预；不合理用药 DOI：10.3969/j.issn.1005-5304.2015.01.037 中图分类号：R288 文献标识码：A 文章编号：1005-5304(2015)01-0117-02 A Study on Unreasonable Prescriptions in Outpatient Department in Our Hospital CHENG Jing-yan, YANG Jing-qi, HE Fang-ming, ZHANG Jing (Beijing Jishuitan Hospital, Beijing 100035, China) Abstract ：Objective To analyze the unreasonable elements in prescriptions from outpatient department through the intervention of unreasonable prescriptions ；To provide evidence for reasonable usage of medicine in outpatient department. Methods Prescriptions were examined by senior pharmacists. If they found any unreasonable elements, they would consult doctors, and record all the unreasonable elements in the prescriptions to avoid unreasonable prescriptions. A total of 663 unreasonable prescriptions from Jan. 2011 to May 2013 were analyzed. Results A total of 709 unreasonable elements were found in these prescriptions. The man elements were following three types ：overdose of toxic decoction pieces (73.76%), incompatible prescriptions without signature (12.13%), wrong inputting of prescription and decoction (7.76%). Conclusion With early intervention in prescriptions, the quality of prescriptions and the safety and effectiveness of medication can be improved. Key words ：decoc