我院2014年门急诊小包装中药饮片处方点评

发布时间：2018-06-23 20:20

本文选题：门急诊 + 小包装中药饮片　；参考：《中国药房》2015年14期

【摘要】：目的:为处方质量的持续改进提供参考。方法:随机抽取我院门急诊2014年每月某天的小包装中药饮片处方,共5 151张,按照国家和我院制定的有关中药饮片处方的管理规定,对所选处方的合理性以及不合理处方类别和百分比进行点评。结果:5 151张处方中,合理处方为3 237张,占抽查处方的62.84%;不合理处方为1 914张,占抽查处方的37.16%。各类不合理处方数及其构成比依次为:大处方(包括处方金额、剂数、药味数、贵重药质量超过规定等)1 040张,占54.34%;缺中医诊断652张,占34.06%;无煎服法或煎服法不准确108张,占5.64%;急诊处方超3剂56张,占2.93%;调剂复核无双签字39张,占2.04%;缺临床诊断14张,占0.73%;毒性药品超剂量或使用"十八反"药对未注明原因和再次签名4张,占0.21%;诊断与用药不符1张,占0.05%。结论:我院门急诊小包装中药饮片处方总的合格率还不理想,持续改进工作仍需加强。
[Abstract]:Objective: to provide reference for the continuous improvement of the quality of the prescription. Methods: a total of 5151 pieces of traditional Chinese medicine decoction pieces were randomly selected from the emergency department of our hospital in 2014. According to the regulations on the prescription of Chinese herbal medicine prepared by the state and our hospital, the rationality of the selected prescriptions as well as the categories and percentages of the irrational prescriptions were reviewed. Fruit: of the 5151 prescriptions, the rational prescription was 3237, accounting for 62.84% of the selected prescription. The irrational prescription was 1914. The number of irrational prescriptions and its constituent ratio of 37.16%., which accounted for 1040, 54.34% of the large prescription (including the amount of the prescription, the number of agents, the number of drugs, the quality of the valuable medicine, and so on), accounted for 54.34%, and 652 of traditional Chinese medicine, accounting for 34.06%. No decocting method or decocting method was inaccurate 108, accounting for 5.64%; emergency prescription over 3 doses 56 sheets, accounting for 2.93%, no double signature 39, 2.04%, 14 clinical diagnosis, 0.73%, toxic drugs or eighteen counter drugs, excluding reasons and 4 resignatures, accounting for 0.21%; diagnosis and drug use did not conform to 3, 0.05%. conclusion: our hospital is urgent. The total eligibility rate of Chinese medicine decoction pieces in small package is not satisfactory, and the continuous improvement work still needs to be strengthened.
【作者单位】：重庆市中医院药剂科;
【分类号】：R95

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