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目的:为了探索门诊实施药学监护的着手点及其考察实施药学监护后的结果,以便提高医院用药整体水平,使药物真正得到安全、有效、经济、合理的应用,为病人服务。方法:我们随机抽取单日的处方(1729张),就处方规范化方面和处方合并用药合理化方面,审查每张处方,统计不合格处方数(例),对不合格处方进行分类分析。结果:不合格处方523例(30.25％),其中处方书写规范化不合格为467例(27.01％),合并用药不合格为56例(3.24％)。结论:提出要进一步加强处方书写规范化管理;临床医生要进一步掌握药学知识,注意药品间配伍禁忌和合并用药时所能产生的治疗效果;药师要担负起药学监护的职责。
OBJECTIVE: In order to explore the starting point of outpatient pharmacy monitoring and its investigation after implementation of the results of pharmacy monitoring, in order to improve the overall level of hospital medication, so that drugs truly safe, effective, economical and reasonable application of patient services. Methods: We randomly selected one-day prescriptions (1,729). We reviewed each prescription and the number of unqualified prescriptions in terms of prescription standardization and prescription rationalization, and classified the unqualified prescriptions. Results: 523 (30.25%) failed prescriptions, of which 467 cases (27.01%) were prescribed nonstandard prescriptions and 56 cases (3.24%) were unqualified. Conclusion: It is proposed to further strengthen the standardized management of prescription writing. Clinicians should further grasp the knowledge of pharmacy, pay attention to the incompatibility among drugs, and the therapeutic effects that can be produced when combining drugs. The pharmacist should assume the responsibility of pharmacy supervision.