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目的:分析我院儿科门急诊处方情况以提高处方质量,促进合理用药,保障患儿用药安全有效。方法:抽查我院儿科2011年1～12月门急诊处方,按照新《医院处方点评管理规范(试行)》、《抗菌药物临床应用指导原则》等对处方合理性以及药物使用情况进行分析。结果:在抽查的16 000张处方中,不合理处方643张(4.02%),主要表现在处方书写不规范、用法用量不当、抗菌药物使用不当、联合用药不当、溶媒选用不合理等方面。结论:我院儿科门急诊处方质量有待进一步提高,药师与医生的沟通需要进一步加强;应加强医院处方的规范管理,提高处方书写质量,促进合理用药,以实现安全、有效、经济用药。
OBJECTIVE: To analyze the prescriptions of pediatric emergency department in order to improve the quality of prescriptions, promote the rational use of drugs and ensure the safe and effective medication for children. Methods: A random sample of emergency department prescriptions in pediatrics of our hospital from January to December, 2011 was analyzed. The rationality of prescriptions and the use of drugs were analyzed according to the new norms of management of hospital prescription reviews (Trial) and guidelines of clinical application of antibiotics. Results: Of the 16 000 prescriptions randomly selected, 643 (4.02%) were unlawfully prescribe. The main reasons were irregular prescriptions, improper usage and dosage, improper use of antimicrobial agents, improper combination therapy and unreasonable solvent selection. Conclusion: The quality of prescriptions for pediatric emergency department needs to be further improved. The communication between pharmacists and doctors needs to be further strengthened. The standardized management of prescriptions in hospitals should be strengthened to improve the writing quality of prescriptions and promote the rational use of drugs in order to achieve safe, effective and economical medication.