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目的探讨医院门诊中成药电子处方中取消发药处方情况,为指导中药房工作和医院临床用药提供参考。方法对医院2014年8月-2015年8月取消发药的门诊中成药处方134张进行统计、分析。回顾性整理上述处方,对出现取消发药的因素进行分析和归类,分析造成取消发药的相关原因,并探讨针对各类因素采取的防范对策。结果由于计算机软件系统问题取消发药的30张(22.39%);药品因素造成取消发药的40张(29.85%);医师开药错误造成取消发药5张(3.73%);医师药品用量错误造成取消发药38张(28.36%);医师开具处方违反制剂要求造成取消发药1张(0.75%);医师用药出现配伍禁忌造成取消发药取消发药7张(5.22%);患者因为费用过高造成取消发药4张(2.99%);患者因为其他原因取消发药3张(2.24%);收费室收费员收费错误造成取消发药6张(4.48%)。结论针对上述问题从改进医院计算机软件系统,加强医院中药房管理,增加医务人员培训,加大医患沟通四个方面减少取消发药处方,保障患者用药安全,提高用药合理性。
Objective To investigate the prescription cancellation of proprietary Chinese medicines in outpatient clinics and provide references for guiding the work of traditional Chinese medicine pharmacies and clinical medication in hospitals. Methods A total of 134 prescriptions of proprietary Chinese medicines for canceling dispensing in the hospital from August 2014 to August 2015 were analyzed statistically. Retrospectively rectifying the above prescriptions, analyzing and classifying the factors of canceling drug delivery, analyzing the related reasons of canceling drug delivery and discussing the countermeasures for various factors. Results 30 cases (22.39%) were canceled due to computer software system problems; 40 cases (29.85%) were canceled due to drug-related factors; 5 cases (3.73% 38 (28.36%) cases were canceled, and 1 prescription (0.75%) was issued when the doctor issued a prescription in violation of the formulation requirements. 7 cases (5.22%) were canceled due to incompatibility with physicians. 4 cases (2.99%) were canceled due to over-exploitation, 3 cases (2.24%) were canceled due to other reasons, and 6 cases (4.48%) cancellation of drug dispensing caused by errors in toll-room collectors’ fees. Conclusion To solve the above problems, it is necessary to improve the computer software system in hospitals, strengthen the management of pharmacies in hospitals, increase the training of medical personnel, increase the communication between doctors and patients, and reduce the prescriptions for drug dispensing, ensure the medication safety of patients and improve the rationality of medication.