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目的:了解上虞市人民医院门急诊处方书写和合理用药情况。方法:随机抽取该院2009-2010年门急诊处方13 200张进行分析,并与2008年进行比较分析。结果:该院处方书写错误占处方调查数的1.71%,合格率较高。不合理用药处方占调查处方的2.45%,分别在重复用药、药物拮抗、溶媒选择、药物用量不合理等方面存在问题。2008年与2009年在静脉与口服用药和不合理用药方面比较无明显差异(P>0.05);在二药以上联合应用和处方书写错误方面比较存在明显差异(P<0.05)。结论:该院2009年门急诊用药基本合理,较2008年有一定的改观,但仍存在问题,有待于进一步改进。
Objective: To understand Shangyu People’s Hospital emergency department prescription writing and rational use of drugs. Methods: A total of 13 200 outpatients and emergency department prescriptions in the hospital from 2009 to 2010 were randomly selected for analysis and comparative analysis with 2008. Results: The hospital prescription errors accounted for 1.71% of the number of prescriptions, a higher pass rate. Unreasonable drug prescriptions accounted for 2.45% of the survey prescriptions, respectively, in the repeated medication, drug antagonism, solvent selection, drug dosage unreasonable and so there are problems. There was no significant difference between intravenous and oral administration and irrational administration in 2008 and 2009 (P> 0.05). There was a significant difference (P <0.05) in the combination application and prescription writing errors between the two drugs. Conclusion: The hospital outpatient and emergency department medication in 2009 basically reasonable, compared with 2008 has some improvements, but there are still problems that need to be further improved.