[1]李然.2000张中药饮片问题处方药师干预结果分析[J].西部中医药,2020,33(07):80-83.[doi:10.12174/j.issn.1004-6852.2020.07.20]
 LI Ran.Analysis of the Intervention Results in 2000 Pieces of Herbal Decoction Pieces Prescriptions by Pharmacists[J].Western Journal of Traditional Chinese Medicine,2020,33(07):80-83.[doi:10.12174/j.issn.1004-6852.2020.07.20]
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2000张中药饮片问题处方药师干预结果分析
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《西部中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
33
期数:
2020年07期
页码:
80-83
栏目:
专题·调查分析
出版日期:
2020-07-15

文章信息/Info

Title:
Analysis of the Intervention Results in 2000 Pieces of Herbal Decoction Pieces Prescriptions by Pharmacists
文章编号:
1004-6852(2020)07-0080-04
作者:
李然
北京市昌平区中医医院药剂科,北京 100096
Author(s):
LI Ran
Department of Pharmacy, Changping District TCM Hospital, Beijing 100096, China
关键词:
中药饮片处方干预中医师中药师
Keywords:
herbal decoction pieces prescription intervention TCM doctor pharmacists
分类号:
R283
DOI:
10.12174/j.issn.1004-6852.2020.07.20
文献标志码:
A
摘要:
目的:对门诊医师开具的中药饮片问题处方进行干预,从而降低医师处方失误率,保障患者用药安全。方法:以《处方管理办法》《医院中药饮片管理规范》《北京市中药饮片调剂规程》为依据,搜集干预的处方2000张,根据不同干预原因进行分析,并提出解决方法。结果:2000张处方中,有毒药品超剂量未双签名占46.50%(932/2000);药物剂量错误占28.85%(577/2000);药味错误占14.10%(282/2000);用药途径错误占4.25%(85/2000);配伍禁忌未双签名的处方占3.65%(73/2000);药物开重复的处方占2.55%(51/2000);经过药师干预,2000张处方全部干预成功,保障了患者用药安全。结论:中药师在审方时通过干预医师问题处方,以降低处方差错率,从而保障患者用药安全。
Abstract:
Objective: To intervene the prescriptions of false herbal decoction pieces prescribed by outpatient doctor, therefore to reduce the error rate of the prescriptions and ensure medication safety. Methods: Prescription management, Hospital management standard of herbal decoction pieces and Beijing dispensing regulation for herbal decoction pieces were chosen as the reference, to collect 2000 pieces of intervened prescriptions, they were analyzed according to different intervention reasons to propose the solution. Results: Among 2000 pieces of prescriptions, 932 prescriptions presents toxic drugs overdose and without double signatures, and they held 46.50%(932/2000) of all the prescriptions; 577 prescriptions showing wrong herbal dose, and they occupied 28.85%(1577/2000) of all; 282 prescriptions with wrong herbs, and 14.10%(282/2000) of all; 85 prescriptions showing wrong routes of administration and 4.25%(85/2000); 73 prescriptions with incompatibility and without double signatures, and 3.65%(73/2000); 51 prescriptions showing repetitive drugs and 2.55%(51/2000); after intervened by pharmacists, all 2000 pieces of prescriptions have been intervened successfully, which ensured the patients' medication safety. Conclusion: Pharmacists could intervene the doctors' false prescription when examing the prescriptions to reduce prescription error rates and ensure the patients' medication safety.

备注/Memo

备注/Memo:
收稿日期:2019-03-20作者简介:李然(1971—),男,副主任药师。研究方向:中药调剂。
更新日期/Last Update: 2020-07-15