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目的调查我院不合理用药状况,以加强处方审核,促进合理用药。方法从2008年1月-12月,每月随机抽取某一天的门诊及病房西药处方,共计10 005张,占全院西药处方总量的3.52%;所抽查科室包括:急诊科、门诊(内科、外科、妇科、儿科、五官科、皮肤科、口腔科)及住院部(内科、外科、儿科、妇科、传染科、中医科),从中挑选出不合理用药处方进行分析。结果在抽取的10 005张处方中,发现不合理用药处方326张,不合格率为3.26%,发生率较高的是:用法不合理、重复用药、选药不当等。结论我院存在一定的不合理用药现象,药师应认真审查核对处方,协助临床医生做好药物临床的合理使用工作。
Objective To investigate the irrational use of drugs in our hospital to strengthen the prescription examination and promote the rational use of drugs. Methods A total of 10 005 outpatient and ward prescriptions were collected from January to December 2008 each month, accounting for 3.52% of the total prescriptions of western medicine in the hospital. The departments examined include: emergency department, outpatient department , Surgery, gynecology, pediatrics, ENT, dermatology, dentistry) and inpatient department (internal medicine, surgery, pediatrics, gynecology, infectious diseases, Chinese medicine), from which unreasonable prescriptions were selected for analysis. Results Of the 10 005 prescriptions we extracted, 326 were found to be irrational and the unqualified rate was 3.26%. The high incidence rate was: irrational use, repeated medication, improper drug selection and so on. Conclusion There is a certain irrational use of drugs in our hospital, pharmacists should carefully review the check prescription to help clinicians do a good job of rational use of drugs.