Analysis of 402 pieces of irrational prescriptions for discharge / 中国基层医药

ABSTRACT

Objective To analyze the unreasonable prescription of the discharged drug and to propose the intervention measures to further improve the rationality of the prescription.Methods 18 506 pieces of hospital discharge prescriptions were collected,and the above prescriptions were commented by the prescription review working group.The classified items and their constituent ratios of irrational prescriptions for discharge were statistically analyzed.Results The irrational prescription of this study was 402 pieces,and the unreasonable prescription rate was 2.17%.Of which 321 pieces were not standardized prescriptions, accounting for 79.85%, 81 pieces for the inappropriate prescriptions, accounting for 20.15%.321 pieces of non-standard prescription, doctors do not regulate the signature and seal up 74 pieces, accounting for 23.05%,drug dosage, specification, number of errors69 pieces,21.50%,the third allergy test does not indicate53 pieces,accounting for 16.51%;81 pieces inappropriate medication prescription, usage of the drug, did not suitable for most,51 pieces,62.96%,followed by not suitable for combination 22 pieces, accounted for27.16%.Conclusion Through the prescription review, the discharge of drug irrational prescription analysis, and strengthen exchanges with clinical departments can promote the clinical rational drug use, improve the safety of clinical medication.