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目的了解我院2014年第二季度门诊西药房不合理处方情况,进一步促进临床合理用药。方法选取芜湖市第一人民医院门诊西药房2014年第二季度的处方48560张,根据国家“处方管理办法”“抗菌药物应用指导原则”及医院相关规定进行不合理处方分析。结果 48560张处方中合理处方有48098张(99.05%),不合理处方有462张(0.95%),其中,不合理处方类型主要包括总量超量(46.10%)、无适应证用药(22.29%)、无医师签章(21.65%)、用法用量错误(6.93%)、书写不规范(5.84%);主要涉及妇科(13.64%)、心内科(12.99%)、神经内科(8.87%)、儿科(8.01%)、门诊干部保健科(8.01%)、呼吸内科(5.63%)、泌尿科(5.19%)、内分泌科(4.98%)、骨科(4.76%)、消化内科(3.90%);科室正/副主任签章占43.00%,主治医师签章占28.00%,住院医师签章占29.00%。结论我院门诊西药房处方基本合理,但仍存在不合理用药情况,应分析不合理用药的原因,并及时、合理地进行干预,促进临床合理用药。
Objective To understand the unreasonable prescribing situation of outpatient western pharmacy in the second quarter of 2014 in our hospital to further promote the rational use of clinical medicine. Methods A total of 45,560 prescriptions in the outpatient western pharmacy of Wuhu First People ’s Hospital in the second quarter of 2014 were selected and analyzed in accordance with the State "prescription management Results Among the 48,560 prescriptions, 48,098 (99.05%) were reasonable prescriptions and 462 (0.95%) were unreasonable prescriptions. Among them, the types of unreasonable prescriptions included the total overdose (46.10%), the unqualified drug (22.29% (21.65%), the usage and dosage was wrong (6.93%) and the writing was not standardized (5.84%). The main problems were gynecology (13.64%), cardiology (12.99%), neurology (8.87% (8.01%), outpatient cadre health department (8.01%), respiratory medicine (5.63%), urology (5.19%), endocrinology (4.98%), orthopedics (4.76%), gastroenterology / Deputy chief signature accounted for 43.00%, attending physician signatures accounted for 28.00%, resident signatures accounted for 29.00%. Conclusion The prescription of western pharmacy in our hospital is basically reasonable, but there are still unreasonable drug use cases. The reason of irrational drug use should be analyzed, and the intervention should be made in a timely and reasonable manner to promote rational drug use in clinic.