Analysis of reasons,influencing factors and countermeasures study of irrational use of drugs in outpatient prescriptions
GONG Jun1 WU Jian-e2▲
1.Department of Pharmacy,Gao′an People′s Hospital,Jiangxi Province,Gao′an 330800,China;
2.Department of Anesthesiology,Hongdu Hospital of Traditional Chinese Medicine Affiliated to Jiangxi University of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330008,China
Abstract：Objective To explore the reasons,influencing reasons and countermeasures of irrational use of drugs in outpatient prescriptions.Methods A total of 240 prescriptions from the numerous prescriptions issued by physicians in the outpatient departments of Gao′an People′s Hospital in Jiangxi Province from December 2016 to March 2019 were randomly selected for this experimental study.The relevant staff involved in this study used a retrospective analysis method to objectively count the proportion of irrational drug prescriptions in 240 outpatient prescriptions based on the Prescription Management Method,comprehensively analyze the types and reasons of irrational drug prescriptions,and completed univariate and multivariate Logistic analysis.Results Among the 240 outpatient prescriptions,there were 30 unreasonable prescription drugs,and the unreasonable drug use rate accounted for 8.00%.The univariate results showed that there was no statistically significant difference in the incidence of irrational outpatient prescriptions under different solvent choices (P＞0.05).There was statistically significant difference in the incidence of unreasonable outpatient prescriptions under administration methods,drug selection,medication interval,combination medication,and medication frequency (P＜0.05).The results of multivariate Logistic analysis showed that the method of administration,drug selection,medication interval,combination medication,and medication frequency were the risk factors for irrational medication use in outpatient prescriptions (P＜0.05).Conclusion There are many factors affecting the unreasonable use of drugs in hospital outpatient prescriptions,such as unreasonable drug administration and unreasonable drug selection.Different factors can interact and affect each other.Relevant hospital departments should further promote the drug system implementation,while focusing on continuously improving the comprehensive technical level and professional ethics of medical personnel,prompting them to be strict in their work positions,conscientious and responsible,so as to continuously improve the rationality of outpatient prescriptions.
龚珺；伍剑锷. 门诊处方不合理用药原因、影响因素分析及解决对策研究[J]. 中国当代医药, 2021, 28(5): 211-214.
GONG Jun；WU Jian-e. Analysis of reasons,influencing factors and countermeasures study of irrational use of drugs in outpatient prescriptions. 中国当代医药, 2021, 28(5): 211-214.
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