应用帕累托图法分析门诊药房不合理处方的原因.pdfVIP

330 • 论 著 • December 2013, Vol.11, No.36 Guide of China Medicine 应用帕累托图法分析门诊药房不合理处方的原因 刘 杰* 孙为朋 （青岛市市立医院药剂科，山东青岛266011） 摘要】目的 方法 【 查找门诊处方不合理的主要原因，提 出对策，保证用药安全。 通过对处方不合理原因进行整理，利用帕累托图法对本 院主要退药原因进行分析。结果 造成处方不合理的前 2 项因素 （药物相互作用和给药频次不合理）为主要因素，用药与临床诊断不符和 超剂量用药为次要因素，其余为一般因素。结论 针对造成处方不合理的主要原因，应加强对临床医师合理用药知识培训，同时药房审核 药师应加大审核力度，保证用药安全。 关键词 【 】门诊药房；合理用药；退药；帕累托图 中图分类号：R969.3 文献标识码：B 文章编号：1671-8194 （2013）36-0330-02 LIU Jie*, SUN Wei-peng (Department of Pharmacy, Qingdao Municipal Hospital, Qingdao 266011, China) ， ． [Abstract]Objective To investigate the reasons of irrational prescriptions puts forward countermeasures and ensure the medication safety Method The irrational prescriptions data were collected and processed, And the Pareto diagram analysis was used to find out the main reasons of outpatient pharmacy in our hospital. Result The major factor leading to irrational was drug interactions and irrational frequency of drug use. The secondary factors was medication does not match with the clinical diagnosis and drug overdose, the rest four reasons were summed up as general factors. Conclusion Aiming at the main reasons of Irrational drug use, some effective measures should be taken: such as strengthening training to improving doctors’ rational drug use level and increasing pharmacist audit efforts. [Key words]Outpatient dispensary; Rational drug use; Prescription; Pareto diagram analysis 我院是一所综合性的三级甲等医院，拥有病床2000余张。近年 理处方进行分类统计，共计374张。 来，随着临床用药的日益复杂，通过合理用药来减少药品不良反应发 1.2 方法 生率