Analysis on Rationality of 6 000 Discharge Prescriptions with Drugs

ZHANG Jingming; WU Xiaolan; HUANG Fang; SHEN Fuming

doi:10.14009/j.issn.1672-2124.2021.06.020

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Analysis on Rationality of 6 000 Discharge Prescriptions with Drugs

更新时间：2022-10-08

- Analysis on Rationality of 6 000 Discharge Prescriptions with Drugs
- Vol. 21, Issue 6, Pages: 730-732(2021)
- 作者机构：
  
  同济大学附属第十人民医院药学部
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2021.06.020
  CLC： R95
- Published：2021，
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ZHANG Jingming, WU Xiaolan, HUANG Fang, et al. Analysis on Rationality of 6 000 Discharge Prescriptions with Drugs. [J]. 21(6):730-732(2021)
DOI：

ZHANG Jingming, WU Xiaolan, HUANG Fang, et al. Analysis on Rationality of 6 000 Discharge Prescriptions with Drugs. [J]. 21(6):730-732(2021) DOI： 10.14009/j.issn.1672-2124.2021.06.020.

摘要

目的:了解同济大学附属第十人民医院(以下简称"我院")出院带药处方用药情况

发现存在问题

研究对策

促进出院患者合理用药。方法:抽取2019年3月至2020年2月我院出院带药处方6 000张

进行处方点评

并对处方不合理用药、存在潜在药物相互作用情况进行分析。结果:6 000张出院带药处方中

不合理处方105张

占总处方数的1.75%;存在潜在药物相互作用处方237张

占总处方数的3.95%。主要问题有剂量不合理、用法不适宜、超疗程用药、联合用药不适宜和存在潜在药物相互作用等。结论:调剂药师和临床药师应加强合作

调剂药师及时干预处方

减少不合理处方的发生;临床药师开展出院带药宣教

保障出院患者用药安全、有效。

Abstract

OBJECTIVE: To investigate the discharge prescription with drugs in the Tenth People ’s Hospital Affiliated to Tongji University（ hereinafter referred to as "our hospital "）

to identify problems and study countermeasures

so as to promote the rational drug application for discharged patients. METHODS: Totally 6 000 discharge prescription with drugs in our hospital from Mar. 2019 to Feb. 2020 were extracted for prescription review

the irrational drug application and potential drug interaction were analyzed. RESULTS: Among the 6 000 discharge prescription

there were 105 irrational prescriptions

accounted for 1. 75% of the total prescriptions; there were 237 prescriptions with potential drug interactions

accounting for 3. 95% of the total prescriptions. The main problems were unreasonable dosage

inappropriate usage

super-therapeutic use

improper drug combination and potential drug interaction. CONCLUSIONS: Dispensing pharmacists and clinical pharmacists should strengthen cooperation

and dispensing pharmacists should timely intervene the prescriptions to reduce the occurrence of irrational prescriptions;clinical pharmacists should carry out discharge medication education to ensure safe and effective medication for discharged patients.

关键词

出院带药处方不合理用药分析干预出院带药宣教

Keywords

Discharge prescriptions with drugsIrrational prescriptionsAnalysisInterventionDischarge medication education

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