某综合院5856张门急诊处方用药分析.docVIP

某综合医院5856张门急诊处方用药分析 　　摘 要 目的：分析医院门急诊处方书写质量和不合理用药情况，以提高医院处方书写质量，促进合理用药。方法：抽查2014年1月-12月南方医科大学第五附属医院门急诊处方5 856张，采用逐张审查方式审核，从书写规范性及用药合理性角度，判断不合理处方并进行归类分析。结果：5 856张门急诊处方中，不合理处方率为7.85%（460/5 856），门诊共选取4 051张处方，其中不合理处方率为6.44%（261/4 051），急诊共选取1 805张处方，其中不合理处方率为11.02%（199/1 805），门诊与急诊不合理处方率比较差异无统计学意义（P0.05）；门急诊不合理处方主要表现为书写不合格、溶媒选用不合理、用药方法不合理、药物选择不合理、药物联合应用不合理、抗菌药物应用不当与重复用药，其中抗菌药物应用不当处方率明显高于其他不合理处方率，比较差异具有统计学意义（P中国论文网 /6/viewhtm　　关键词 门诊 急诊 用药分析 　　中图分类号：R969.3； R197.1 文献标识码：C 文章编号：1006-1533（2015）21-0053-04 　　Analysis of 5 856 prescriptions issued at outpatient and emergency departments in a general hospital* 　　ZHU Caihong， HUANG Cailing， WANG Peng， ZHENG Xueqiong 　　（Department of Pharmacy， The Fifth Hospital affiliated to Southern Medical University， Guangzhou 510900， China） 　　ABSTRACT Objective： To analyze the writing quality of prescription issued at outpatient and emergency departments and irrational medication so as to improve the writing quality of prescription and promote rational medication. Methods： Five thousand eight hundred and fifty-six prescriptions in 2014 were randomly checked and examined one by one. The irrational prescriptions were classified and analyzed. Results： The irrational prescriptions accounted for 7.85% （460/5 856） in all 5 856 prescriptions and 6.44% （261/4 051） in total 4 051 outpatient prescriptions and 11.02% （199/1 805） in total 1 805 emergency prescriptions. The comparison of irrational prescriptions between outpatient and emergency departments showed no statistical significance （P0.05）. The irrational prescription appeared mainly in unqualified writing， the selection of unqualified solvent， method for medication， selection and combination of drugs， the application of antibacterial agents and their repeated medication. The rate of irrational prescription in antibacterials was higher than the others （P 　　3.6 抗菌药物应用不当 　　1）选药不当 急性扁桃体炎、急性咽炎等病原微生物主要为病毒，其病程具有自限性，如无明确合并症，则应采用对症处理，但如采用阿莫西林、头孢他啶等抗菌药物进行治疗则属于药物选择不合理；对于腰肌劳损、癫痫、颈椎病、糖尿病等疾病无明确抗菌