中国医院用药评价与分析2019，Vol.19Issue(2)：243-245,3.DOI:10.14009/j.issn.1672-2124.2019.02.040
42 302张儿科门急诊处方点评及不合理处方的帕累托图分析
Review on 42 302 Pediatric Prescriptions in Outpatient and Emergency Department and Analysis on Irrational Prescriptions Based on Pareto Chart
刘艳 1季荣星 1张娟娟1
作者信息
- 1. 河南省省立医院药学部, 河南 郑州 451162
- 折叠
摘要
Abstract
OBJECTIVE: To investigate the current situation of irrational prescriptions in pediatric outpatient and emergency department of Henan Provincial Hospital (hereinafter referred to as "our hospital"), to analyze the irrational reasons and put forward the management countermeasures. METHODS: The results of pediatric outpatient and emergency prescription comments in our hospital in 2017 were summarized and analyzed. Pareto chart was used to conduct statistical analysis on irrational prescription types, and the main, secondary and general factors causing irrational prescriptions were found. RESULTS: A total of 42 302 pediatric outpatient and emergency prescriptions were drawn, including 1 790 irrational prescriptions, with the irrational rate of 4.23％. Among the 1 790 irrational prescriptions, there were a total of 1 816 case-times of irrational problems, with no clinical diagnosis or incomplete clinical diagnosis (775 case-times, 42.68％) and inappropriate usage and dosage (380 case-times, 20.93％) were the main factors; inappropriate indications (311 case-times, 17.13％) and inappropriate dosage form or administration route (147 case-times, 8.09％) were the secondary factors; other factors such as inappropriate drug selection (70 case-times, 3.85％) were the general factors. CONCLUSIONS: The rational rate of pediatric prescriptions in our hospital needs to be further improved. Pharmacists should formulate targeted solutions according to the types of irrational prescription factors to promote the rational drug use and ensure the medication safety of children.关键词
儿科/门急诊/不合理处方/帕累托图/管理对策Key words
Pediatrics/Outpatient and emergency department/Irrational prescriptions/Pareto chart/Management countermeasures分类
医药卫生引用本文复制引用
刘艳,季荣星,张娟娟..42 302张儿科门急诊处方点评及不合理处方的帕累托图分析[J].中国医院用药评价与分析,2019,19(2):243-245,3.
