摘要
目的:了解北京大学人民医院(以下简称"我院")门诊不合理处方的发生原因,并进行帕累托图分析,以期为临床合理用药提供参考。方法:收集2016年我院门诊不合理处方2 408张,按不合理处方类型,采用帕累托图分析主要因素、次要因素及一般因素。结果:我院不合理处方共8类,处方数排序居前4位的类型为用法或用量不适宜、遴选药品不适宜、无指征使用抗菌药物和无正当理由超说明书用药,属于帕累托图分析中的主要因素;次要因素为适应证不适宜;一般因素为联合用药不适宜、重复给药及剂型或给药途径不适宜。结论:应用帕累托图对不合理处方进行分析,简单方便直观,重点突出,主要、次要因素明确;临床应规范医师开具处方的流程,深化医院信息系统建设,并发挥药师作用,保证临床合理用药。
OBJECTIVE：To investigate the reasons inducing irrational outpatient prescriptions of Peking University People＇ s Hospital （ hereinafter referred to as ＂our hospital＂） , the Pareto diagram analysis was conducted so as to provide references for clinical rational medication .METHODS：2408 outpatient prescriptions of our hospital in 2016 were collected , types of irrational prescriptions were analyzed , and Pareto diagram was adopted to analyze the principal factors , secondary factors and general factors .RESULTS：There were 8 types of irrational prescriptions in our hospital , the top 4 were respectively improper usage or dosage , inappropriate drug selection , non-indication application of antibiotics and off-label medication without any justified reasons , which were the principal factors in Pareto diagram analysis; the secondary factor was inappropriate indication medication; the general factors were improper drug combination , repeated dosing , inappropriate dosage form or administration route .CONCLUSIONS：The Pareto diagram analysis on irrational prescriptions was simple , convenient and visualized , with highlighted emphases , specific principal factors and secondary factors; the process of clinicians to prescribe need to be standardized , the establishment of hospital information system need to be reinforced , so as to give full play of pharmacist and ensure clinical rational medication .
出处
《中国医院用药评价与分析》
2017年第10期1416-1417,1421,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
门诊药房
不合理处方
帕累托图分析
Dispensary for outpatients
Irrational prescriptions
Pareto diagram analysis
