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Analysis of irrational Chinese patent medicine prescription in outpatient department |
KANG Xue XING Shuang XU Baohai |
Chinese Pharmacy, Beijing Jishuitan Hospital, Beijing 100035, China |
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Abstract Objective To discuss the prescription of irrational Chinese patent medicine in outpatient department and put forward measures. Methods Based on Hospital prescription review management standard, Clinical application guidelines of Chinese patent medicine and the drug instructions. The prescriptions of irrational Chinese patent medicine in the outpatient from July 2016 to July 2017 were classified and analyzed. Results The irrational use of drugs was summed up as follows: inconsistent of diagnosis and prescriptions, unreasonable of combination, no signature of doctor, usage error, wrong prescription color, ultra-maximum dosage of instructions, inappropriate dosage of children, extraordinary prescription, contraindications, ultra-limit and repeated medication. The larger proportion departments in unreasonable use of drugs were mainly TCM department, hand surgery department, cardiology, orthopaedic orthopaedics, cadre branch and so on. Conclusion The pre-audit intervention of prescription is of great significance to the safety of patients, the doctors and pharmacists should constantly improve the level of knowledge about traditional Chinese medicine, measures of unreasonable prescription surveillance should improve and regulate the rational use of traditional Chinese medicine.
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[1] 张春铜,刘杰,陈秀英.不合理用药致药物不良反应典型案例分析[J].实用药物与临床,2014,17(11):1469-1472.
[2] WHO. Essential drug monitor [J]. Geneva,2002(31):7.
[3] 卫生部.医院处方点评管理规范(试行)[S].卫医管发[2010]28号文.
[4] 张增珠,李刚,张静,等.临床药师对1860例不合理用药医嘱的干预和分析[J].中国医院药学杂志,2015,35(13):1237-1239.
[5] 刘然,邢爽,王璐.门诊1645例不合理中成药处方干预分析及探讨[J].中国医药导报,2014,11(29):154-158.
[6] 孙红燕.临床不合理用药的药学干预分析[J].中国当代医药,2016,23(8):141-143.
[7] 亢卫华,崔李平,李继泉.我院门诊中药房不合理处方调查分析[J].中国当代医药,2016,23(7):152-154.
[8] 金锐,王宇光,薛春苗,等.中成药处方点评的标准与尺度探索(四):适应证不适宜[J].中国医院药学杂志,2015, 35(13):1161-1167.
[9] 张碧华,胡欣,金鹏飞,等.我院含毒性药材中成药的利用分析和不良反应研究[J].中国药学杂志,2013,48(13):1126-1129.
[10] 刘帅,李妍,李卫飞,等.乌头类中药毒性及现代毒理学研究进展[J].中草药,2016,44(22):4095-4102.
[11] 苏琼华,李国峰,袁琳.中国药典中含有毒性成分朱砂、雄黄的中药使用安全性探讨[J].河南教育学院学报,2014, 23(4):59-63.
[12] 范欣生,段金廒,华浩明,等.中药配伍禁忌理论探索研究[J].中国中药杂志,2015,40(8):1630-1634.
[13] 唐蕾,韦炳华,何秋毅,等.超说明书用药的现状及其法律风险[J].中国药房,2014,25(45):4225-4228.
[14] 陆聪聪,华友海.某院超说明书用药常见类型分析及管理初探[J].中国处方药,2015,13(12):22-23.
[15] 郭春彦,王晓玲.大型综合儿童医院门诊患儿超说明书用药情况调查[J].临床药物治疗杂志,2014,12(2):50-55.
[16] 曾腾亿.我院114例药品不良反应报告分析[J].中国当代医药,2016,23(3):89-92.
[17] 王欣,林晓兰,郭景仙.综合医院中成药使用安全性分析[J].中国医药导报,2014,16(12):1509-1510.
[18] 华友海,陆聪聪,顾龙.13 724张门诊中成药处方点评及其不合理用药处方分析与对策[J].抗感染药学,2016, 13(2):328-330. |
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