OBJECTIVE: To investigate the current status of outpatient prescriptions of traditional Chinese medicine decoction pieces in Beijing Friendship Hospital

Capital Medical University（ hereinafter referred to as "our hospital"）

to promote rational clinical drug use

so as to ensure the drug safety of patients and reduce the irrational rate of clinical drug use. METHODS: From Jan. to Sept. in 2020

3 000 prescriptions of traditional Chinese medicine decoction pieces were randomly selected from 23 188 outpatient prescriptions of our hospital for review and analysis

classification and statistical analysis. RESULTS: Among the 3 000 outpatient prescriptions of traditional Chinese medicine decoction pieces

252 prescriptions were irrational

accounting for 8. 40%. There were 131 prescriptions that did not mark the dispensing and decoction methods of special drugs as required

accounting for 51. 98% of the unqualified prescriptions and 4. 37% of the total extracted prescriptions. There were 109 prescriptions with irrational usage and dosage

accounting for 43. 25% of the unqualified prescriptions and 3. 63% of the total extracted prescriptions. The commonly used off-amount use of small poison and poisonous traditional Chinese medicine decoction pieces included fructus evodiae

hirudo

semen armeniacae amarum

tribulus terrestris

melia toosendan and Acanthophora chinensis tablets

and the off-amount use rate ranged from 20% to 233. 3%. CONCLUSIONS: There are still some irrational phenomena in the prescriptions of traditional Chinese medicine decoction pieces in outpatient department of our hospital. Through prescription review

pharmacists can timely find problems in clinic

feedback problems with clinicians

help patients deal with the problems

and ensure the safety of clinical medication.