Outpatient prescription review and medication analysis
Objective Review and analyze outpatient prescriptions in our hospital to promote the standardization and rationality of outpatient medication,improve prescription quality,promote rational medication,and ensure medical safety.Methods From January to December 2022,50 outpatient Western medicine prescriptions were randomly selected from outpatient pharmacies on 3 working days each month,and a total of 1800 prescriptions were reviewed and analyzed.Results Of the 1800 outpatient prescriptions,1771 prescriptions(98.39%)were qualified,of which the average number of drug varieties was 2.00,antimicrobial prescriptions accounted for 19.00%,injectable prescriptions for 5.61%,and the average number of varieties of essential national medicines for 33.76%,at a per capita cost of 117.15 yuan.There were 29 unqualified prescriptions(1.61%),including 13 unstandardized prescriptions,accounting for 44.83%;12 unsuitable prescriptions,accounting for 41.38%;and 4 overdose prescriptions,accounting for 13.79%.The main problems of unqualified prescriptions include the absence of clinical diagnosis or incomplete writing of clinical diagnosis,overdose without stating the reason,and the requirement of skin test without stating the allergy test and the result of the judgment.Conclusion Although the percentage of irrational drug use in the outpatient department of our hospital is not too high,it still exists all the time.Through timely review and analysis and effective intervention,the qualified rate of prescriptions has been further improved,the unqualified prescriptions have been significantly reduced,and the rationality of drug use has been strengthened.
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