5078张不合理处方干预体会.pdfVIP

·618· 5078张不合理处方干预体会 郭红，吕冠博，王海莲 [摘要]目的 分析我院门诊西药不合理处方的构成和干预情况，促进合理用药。方法 对我院门诊西 药2009至2011年收集的不合理处方分类、干预情况进行分析。结果5078张不合理处方中，用法用量不适宜 3 医生用 与用药不符112例(占2．2％)，重复用药165例(占3．2％)，联合用药不适宜109例(占2．1％)。结论 药存在不合理的现象，医生对处方的法律效力重视不足，跨科开药，药物知识更新不够。我院门诊药师正逐渐向 临床药师转变，为医生提供更多的药学知识，保障患者的用药安全。 [关键词]合理用药；处方点评；干预 oftheinterventionin5078irrationaluse GUO Analysis drug prescriptionHong．LO Guan—bo，WANG Medicine 100053， Hai—lian(DepartmentofPharmacy，XuanwuHospitalofCapital University，Beijing China) To rationaluse the withirrationaluseand [Abstract]Objectivepromote drug byanalyzingprescriptions drug interventionsituationinour Theirrationaluse inour from hospital．Methods drug outpatient’Sprescriptionhospital 2009to2011were Inthe5078 7S withirrational adminis— use，irrational analyzed．Resultsoutpatientprescriptions drug trationand accountedfor 81 without testaccountedfor13％ 75％(n=3 B—lactams dosage 1)，takingorally allergy of accountedfor between and (n=667)，impropercompatibilityinjections 4．2％(n=215)，inconsistentdiagnosis useaccountedfor useaccountedfor combinationuse drug 2．2％(n=112)，repeateddrug 3．2％(n=165)，improper of accountedfor Irrationaluse existsindoctors’medication． 2．1％(n=109)．Conclusion drug drug phenomenon Thedoctorsdonot attentionto of ofre— p