我院1800張中藥飲片處方分析(1)
[摘要] 目的 了解本院中藥飲片處方的書寫質(zhì)量情況,分析處方中存在的問題,從而規(guī)范處方的書寫,促進(jìn)合理用藥,保障醫(yī)療安全,提高醫(yī)療質(zhì)量。 方法 抽取中藥處方(2014年1~6月)1800張,按不合理處方點(diǎn)評指南進(jìn)行回顧性分析。 結(jié)果 本院中藥飲片的合格處方是1710張,合格率為95%,不合格處方90張,不合格率為5%。 結(jié)論 本院的處方抽查結(jié)果是合格的,在往后的處方點(diǎn)評要進(jìn)一步做好中藥飲片的處方分析,確保處方的書寫質(zhì)量和患者的用藥安全、有效,以促進(jìn)臨床合理用藥。
[關(guān)鍵詞] 中藥飲片處方;統(tǒng)計(jì)分析;討論
[中圖分類號] R283.6 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-4721(2015)02(a)-0160-03
Analysis of 1800 prescriptions of medicine materical crude slices of Chinese medicine in our hospital
XUAN Zhao-yin ZHONG Zhi-bing CHEN Zong-wu HE Ling-jun
Department of Pharmacy,Traditional Chinese Medicine Hospital of Luoding City in Guangdong Province,Luoding 527200,China
[Abstract] Objective To understand the writing quality of prescription of medicine materical crude slices of Chinese medicine in our hospital, the problems in the prescription were analyzed to regulate prescription writing and promote rational drug use,guarantee medical safety in order to improve the quality of medical care. Methods 1800 prescriptions were extracted (from January to June 2014),according to the irrational prescription comment guideline, the prescriptions were retrospectively analyzed. Results Qualified prescription of medicine materical crude slices of Chinese medicine in our hospital were 1710,the qualified rate was 95%,the unqualified prescriptions were 90,the unqualified rate was 5%. Conclusion Prescription sampling results of our hospital is qualified.Analysis of prescription of medicine materical crude slices of Chinese medicine should be done well in subsequent comment of prescription to ensure the writing quality of prescription and safe and effective medication of patients which promotes rational drug use.
[Key words] Prescription of medicine materical crude slices of Chinese medicine; Statistical analysis;Discuss
本院是廣東省先進(jìn)的中醫(yī)院,是省中醫(yī)院的協(xié)作醫(yī)院,在粵西地區(qū)有很高的聲譽(yù),特別是在中藥方面更是龍頭單位,每月的中藥飲片處方都在3500~4500張。為規(guī)范中藥飲片處方的書寫質(zhì)量,促進(jìn)合理用藥,本研究隨機(jī)抽取了本院2014年上半年1800張中藥飲片處方,對不合格的中藥飲片處方按照《處方管理辦法》《醫(yī)院處方點(diǎn)評管理規(guī)范(試行)》和2010年11月頒發(fā)的《中藥飲片處方格式及書寫規(guī)范》的要求進(jìn)行回顧性分析。
1 資料與方法
1.1 一般資料
隨機(jī)抽取本院2014年1~6月每月的中藥飲片處方各300張,共1800張。抽取的處方覆蓋了本院各科室,具有一定的代表性。
1.2 方法
根據(jù)2010年版《中國藥典》《中藥飲片處方格式及書寫規(guī)范》《處方管理辦法》《醫(yī)院處方點(diǎn)評管理規(guī)范(試行)》的要求,對所抽查的不合格中藥飲片處方、不合理用藥情況進(jìn)行統(tǒng)計(jì)分析。
2 結(jié)果
2.1 1800張中藥飲片處方分析結(jié)果
合格的中藥飲片處方是1710張,合格率為95%,不合格的中藥飲片處方是90張,不合格率為5%,其中門診60張,病房30張(表1)。
表1 1800張中藥飲片處方分析結(jié)果[n(%)]
2.2 90張不合格處方原因分析結(jié)果
不合格的處方中不規(guī)范的處方是53張,占58.89%,用藥不適宜的處方是37張,占41.11%(表2)。
表2 90張不合格處方原因分析結(jié)果
3 討論 (禤昭銀等)
[關(guān)鍵詞] 中藥飲片處方;統(tǒng)計(jì)分析;討論
[中圖分類號] R283.6 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-4721(2015)02(a)-0160-03
Analysis of 1800 prescriptions of medicine materical crude slices of Chinese medicine in our hospital
XUAN Zhao-yin ZHONG Zhi-bing CHEN Zong-wu HE Ling-jun
Department of Pharmacy,Traditional Chinese Medicine Hospital of Luoding City in Guangdong Province,Luoding 527200,China
[Abstract] Objective To understand the writing quality of prescription of medicine materical crude slices of Chinese medicine in our hospital, the problems in the prescription were analyzed to regulate prescription writing and promote rational drug use,guarantee medical safety in order to improve the quality of medical care. Methods 1800 prescriptions were extracted (from January to June 2014),according to the irrational prescription comment guideline, the prescriptions were retrospectively analyzed. Results Qualified prescription of medicine materical crude slices of Chinese medicine in our hospital were 1710,the qualified rate was 95%,the unqualified prescriptions were 90,the unqualified rate was 5%. Conclusion Prescription sampling results of our hospital is qualified.Analysis of prescription of medicine materical crude slices of Chinese medicine should be done well in subsequent comment of prescription to ensure the writing quality of prescription and safe and effective medication of patients which promotes rational drug use.
[Key words] Prescription of medicine materical crude slices of Chinese medicine; Statistical analysis;Discuss
本院是廣東省先進(jìn)的中醫(yī)院,是省中醫(yī)院的協(xié)作醫(yī)院,在粵西地區(qū)有很高的聲譽(yù),特別是在中藥方面更是龍頭單位,每月的中藥飲片處方都在3500~4500張。為規(guī)范中藥飲片處方的書寫質(zhì)量,促進(jìn)合理用藥,本研究隨機(jī)抽取了本院2014年上半年1800張中藥飲片處方,對不合格的中藥飲片處方按照《處方管理辦法》《醫(yī)院處方點(diǎn)評管理規(guī)范(試行)》和2010年11月頒發(fā)的《中藥飲片處方格式及書寫規(guī)范》的要求進(jìn)行回顧性分析。
1 資料與方法
1.1 一般資料
隨機(jī)抽取本院2014年1~6月每月的中藥飲片處方各300張,共1800張。抽取的處方覆蓋了本院各科室,具有一定的代表性。
1.2 方法
根據(jù)2010年版《中國藥典》《中藥飲片處方格式及書寫規(guī)范》《處方管理辦法》《醫(yī)院處方點(diǎn)評管理規(guī)范(試行)》的要求,對所抽查的不合格中藥飲片處方、不合理用藥情況進(jìn)行統(tǒng)計(jì)分析。
2 結(jié)果
2.1 1800張中藥飲片處方分析結(jié)果
合格的中藥飲片處方是1710張,合格率為95%,不合格的中藥飲片處方是90張,不合格率為5%,其中門診60張,病房30張(表1)。
表1 1800張中藥飲片處方分析結(jié)果[n(%)]
2.2 90張不合格處方原因分析結(jié)果
不合格的處方中不規(guī)范的處方是53張,占58.89%,用藥不適宜的處方是37張,占41.11%(表2)。
表2 90張不合格處方原因分析結(jié)果
3 討論 (禤昭銀等)