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目的研究分析门诊处方的调查情况。方法选择我院门诊于2012年第二季度的5221张处方进行调查分析。结果在5221张处方中,处方超过五种药品率是27.88%,诊断书写不清率是21.05%,诊断书不规范率是9.36%,诊断与用药不符率是3.70%,处方填写缺项率是10.33%,未使用药品通用名称率是8.19%,用法用量书写不规范率是7.02%,超过规范用量率是7.41%,处方修改未签字率是2.92%,规格剂量书写错误率是2.14%。结论通过不断调查统计,总结问题,不断制订整改方案,不断完善药物处方的合理性。医院门诊医师应具备高度的责任感,认真对待每一张医药处方,保证每例患者使用药物的安全性及有效性。
Objective To study and analyze the investigation of outpatient prescriptions. Methods 5221 prescriptions from our outpatient department in the second quarter of 2012 were investigated and analyzed. Results Among the 5221 prescriptions, the prescription rate of over five kinds of drugs was 27.88%, the rate of diagnosis and writing failure was 21.05%, the rate of non-standard diagnosis was 9.36%, the rate of diagnosis and medication incompatibility was 3.70% 10.33%. The common name rate of unused drugs was 8.19%. The non-standard rate of writing and writing usage was 7.02%, 7.41% and 2.92% respectively. The error rate of specification and dosage was 2.14%. Conclusion Through continuous investigation and statistics, summarize the problems, and constantly develop rectification programs to continuously improve the rationality of drug prescriptions. Hospital outpatient physicians should have a high sense of responsibility, take every prescription seriously and ensure the safety and effectiveness of every patient's medication.