门诊西药房不合理用药处方调查及干预对策分析

宋瑞平

（陕西省康复医院，陕西 西安，710065）

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摘要：

目的 调查门诊西药房不合理用药处方情况，并分析干预对策。方法 选取2012年7月至2014年7月用药干预前我院 西药房的6 800份用药处方为对照组，选取2014年8月至2016年8月用药干预后我院西药房的用药处方6 200 份为观察组。成立处方点评工作小组对不合理用药处方进行点评，分析原因并实施干预措施，对比两组处方用药不合理情况。结果 对照组不合理用药处方占处方总数的3.50%，其中药物联用不合理占比达1.00%，其次分别为用药方法不合理、选药不合理、重复用药、用药剂量不合理及溶媒不合理。观察组门诊西药房各类不合理用药占比明显低于对照组（P<0.05）。结论 药物联用不合理是我院门诊西药房不合理用药处方的主要方面，采取干预措施后各类不合理处方均显著减少，但仍然存在，因此应持续 加强对医务人员的培训工作，确切落实干预反馈制度，从而最大程度提高处方质量，保证患者用药的安全性、合理性。

关键词：不合理用药处方；门诊西药房；药物联用

中图分类号：R954文献标志码：A文章编号：2096-1413(2017)24-0120-02

Investigation on the prescription of unreasonable drug use in outpatient western medicine pharmacy and analysis of intervention strategies
Song Rui-ping
（Shaanxi Kangfu Hospital, Xi``an 710065, China)

ABSTRACT: Objective To investigate the prescription of unreasonable drug use in outpatient western medicine pharmacy and analyze intervention strategies. Methods Six thousand and eight hundred prescriptions before drug intervention in our outpatient western medicine from July 2012 to July 2014 were set as control group, 6 200 prescriptions after drug intervention in our outpatient western medicine from August 2014 to August 2016 were set as observation group. Irrational medication prescription were commented by prescription commentary working group. The causes were analyzed, and the intervention strategies were conducted. The incidence of prescription of irrational drug use in the two groups were compared. Results In the control group, irrational drug use prescription accounted for 3.50%, irrational drug combination accounted for 1.00%, and followed by irrational medication method, irrational selection, repeated dosage, irrational dosage and irrational solvent. In the observation group, the total incidence rate of prescriptions of irrational drug use was significantly lower than that in the control group (P<0.05). Conclusion Irrational drug combination is the main factor of irrational drug use prescription in our outpatient western medicine pharmacy. After taking intervention measures, all kinds of irrational phenomenon significantly decreased but still existed. Therefore medical staff``s training should be continuously strengthened and intervention feedback system should be implemented, thus it can maximumly improve prescription quality and ensure safety and rationality of drug use.
KEYWORDS: irrational drug use prescription; outpatient pharmacy; drug combination

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