某院门诊药房不适宜用药干预的统计分析

叶陈伟北海市妇幼保健院，广西北海　536000

某院门诊药房不适宜用药干预的统计分析

叶陈伟
北海市妇幼保健院，广西北海536000

目的 对该院门诊药房不适宜用药干预进行统计分析，加强用药安全管理。方法 回顾分析该院2013年5月—2014年5月不适宜用药干预记录表，对不适宜用药干预记录表进行统计分析。结果 对该院门诊药房所登记的1 684例不适宜用药干预记录进行分析。用法用量错误1 082张，占比64.25%；有潜在临床意义的药物相互作用和配伍禁忌167张，占比9.92%；遴选的药品不适宜65张，占比3.86%；重复给药47张，占比2.79%；必须做皮试的药品患者未做皮试187张，占比11.1%；适应症不适宜136张，占比8.08%。结论 门诊药房用药存在用药不合理情况主要表现在重复用药和用法用量等方面，临床医生应与门诊药房药师加强沟通，努力做到合理用药。

门诊药房；不适宜用药干预；重复用药；用法用量

［Abstract］Objective To statistically analyze the dispensary for outpatients not suitable for medication intervention in our hospital and enhance the medication safety management.Methods The record charts not suitable for medication intervention in our hospital from May 2013 to May 2014 were retrospectively analyzed and statistically analyzed.Results 1 684 cases of record charts not suitable for medication intervention registered in the dispensary for outpatients in our hospital were analyzed，there were 1 082 with mistake dosage and administration，accounting for 64.25%，there were 167 with interaction and incompatibilities of drugs with potential clinical significance，accounting for 9.92%，there were 65 with inappropriate selective drugs，accounting for 3.86%，there were 47 with repeated administration，accounting for 2.79%，there were 187 without skin test of patients who must have a skin test，accounting for 11.1%，and there were 136 with inappropriate indication，accounting for 8.08%.Conclusion The main manifestations of rational medication in dispensary for outpatients are the repeated medication and dosage and administration，the clinical doctor should enhance communication with the pharmacists in dispensary for outpatients and make effort for rational administration.

［Key words］Dispensary for outpatients；Inappropriate medication intervention；Repeated medication；Dosage and administration

门诊医生会由于多种因素的影响导致在开药的过程中开出不合理的处方，这不仅会对患者身体健康造成伤害，也会导致医疗事故的发生。门诊药房中药师可以利用自己的专业知识减少用药错误情况的发生，药师在配药的过程中如发现不合理的处方可不给予配药，并及时与医师取得联系，纠正错误用药处方，保障患者用药安全，提高用药的合理性。该研究对该院门诊药房不适宜用药干预情况进行统计分析，努力提高用药合理性，为临床合理处方用药提供参考。

1　资料与方法

1.1一般资料

对该院门诊药房2013年5月—2014年5月所登记的1 684例不适宜用药干预记录进行统计分析。……