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临床诊断是临床医师制订治疗方案的主要依据,具有重要的法律意义,也是药师审方、判断医师用药是否合理的重要依据。有关门诊处方书写中临床诊断存在的问题有较多的报道[1-3],但有关不孕不育专科医院门诊处方中临床诊断书写情况的报道极少。我院是一所具有21年历史、以不孕不育为诊疗特色的民营专科医疗机构。2015年以前我院医师处方均是手写,处方不合格率居高不下。为规范门诊处方临床诊断的书写,提高我院门诊处方书写质量,我院自2015年5月引进新的信息系统,采用电脑书写、打印处方,使处方书写质量大幅度提
Clinical diagnosis is the main basis for clinicians to develop treatment programs, has important legal significance, but also pharmacists trial prescriptions to determine whether the doctor is an important basis for the rational use of drugs. There are many reports about the problems of clinical diagnosis in the prescription of outpatients [1-3], but there are few reports on the clinical diagnosis and writing in outpatient prescriptions of infertility specialist hospitals. Our hospital is a 21-year history of infertility treatment for the characteristics of private specialist medical institutions. Before 2015, our hospital prescriptions were handwritten, and the rate of prescription failed was high. In order to standardize the clinical diagnosis of outpatient prescription writing and improve the quality of outpatient prescription writing in our hospital since May 2015 to introduce a new information system, the use of computer writing, printing prescriptions, so that a substantial increase in the quality of prescription writing