Promotion Effect of Pareto Diagram Analysis Combined with Special Prescription Comment on Outpatient Rational Drug Use
Objective:To study the promotion effect of Pareto diagram analysis combined with special prescription comment on department rational drug use,so as to provide guidance for optimizing outpatient drug use.Methods:A total of 3 631 prescriptions from the pharmacy of Tanghe County Health School Affiliated Hospital from January 2022 to February 2024 were selected as the research data.1 758 prescriptions from January 2022 to July 2023 and 1 873 prescriptions from July 2023 to February 2024 were divided into before and after optimization group.Pareto diagram analysis combined with special prescription comment was used to analyze the factors that constituted irrational prescriptions,and the rational rate of prescription orders before and after optimization was compared.Results:There were 77 irrational prescriptions among 1 758 outpatient prescriptions,and the irrational prescription rate was 4.38%.According to the special prescription comment guidelines,the problem types of irrational drug use prescriptions were divided into 9 categories.The proportion of inappropriate indications was the highest(40.26%),followed by incomplete clinical diagnosis writing(22.08%).Inappropriate indications,incomplete clinical diagnosis writing and inappropriate usage and dosage were the main factors.The non-compliance of the prescription of antibacterial drugs and the non-standard clinical diagnosis were the secondary factors.Inappropriate drug combination,inappropriate drug dosage form and route of administration,inappropriate selection of drugs and repeated administration were general factors.After optimization,the irrational rate of prescriptions was lower than that before optimization(χ2=29.450,P＜0.05).Conclusion:Pareto diagram analysis combined with special prescription comment can clarify the rationality of outpatient drug use,and lay a foundation for promoting rational drug use.
Pareto diagram analysisSpecial prescription commentOutpatient rational drug usePromotion effect
NETL
NSTL
万方数据
