Discussion on Prescription Analysis and Rational Application of Proprietary Chinese Medicine
Objective:To analyze the prescription of proprietary Chinese medicines and discuss the rationality application.Methods:The 2000 prescriptions of proprietary Chinese medicines issued by our hospital from January 2022 to December 2023 were retrospectively analyzed.Based on the Measures for the Administration of Prescription,Guiding Principles for the Clinical Application of Proprietary Chinese Medicines,and the drug instructions,and also referring to the hospital's internal prescription review standards and implementation rules,the selected prescriptions were classified into reasonable and unreasonable prescriptions,and further classified unreasonable prescriptions,including irregular prescriptions,prescriptions with inappropriate medication,and over-the-counter prescriptions,and analyzed the unreasonable prescriptions.Results:Among 2000 prescriptions of proprietary Chinese medicines,251(12.55%)were unreasonable prescriptions,including 115(5.75%)irregular prescriptions,73(3.65%)prescriptions with inappropriate medication,and 63(3.15%)over-the-counter prescriptions;and 1749(87.45%)were reasonable prescriptions,and the rate of reasonable proprietary Chinese medicines prescriptions was significantly higher than the rate of unreasonable prescriptions(P＜0.05).The 251 unreasonable prescriptions were analyzed and found that incomplete information accounted for 23.12%(58/251),irregular writing content accounted for 11.95%(30/251),modification without signature accounted for 10.76%(27/251),inappropriate drug dosage form accounted for 15.54%(39/251),and use of medicines with overdescription accounted for 17.13%(43/251),other problems accounted for 21.51%(54/251).Conclusion:The prescription of proprietary Chinese medicines is reasonable on the whole,but there are still some unreasonable situations,such as in the process of prescription writing,there are still cases that do not comply with the norms,affecting the safety of patients'medication and therapeutic effect;in the selection of drugs,dosage adjustment,etc.,some prescriptions failed to fully take into account the specific conditions of patients,there is a risk of improper use of medication;and there are problems of drug abuse or overuse of medication.By strengthening the training of doctors,standardizing prescription writing,strengthening patient education and improving hospital management,the rationality of proprietary Chinese medicines prescription can be effectively improved to ensure the safety and therapeutic effect of patients.
Prescription of proprietary Chinese medicineUnreasonable prescriptionDrug use rationalitySecurity
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