付岩 杨付英 李萍

[摘要]目的 了解事前干预门诊不合理处方情况，促进门诊合理用药。方法 收集宁夏医科大学总医院肿瘤医院2016年1～12月事前干预的门诊不合理处方，进行分类、统计和评价，分析不合理发生的原因和避免措施。结果 经统计，在403张事前干预的不合理处方中，不规范处方352张，用药不适宜处方44张，超常处方7张，医师接纳药师建议的共有327张，干预成功率为81.14%。结论 通过药师审核，对不合理处方事前干预，能及時减少和防范不合理用药的发生，从而有效保证处方的质量，规范患者用药的安全性和合理性。

[关键词]事前干预;不合理处方;合理用药：不规范处方;超常处方

[中图分类号] R952          [文献标识码] A          [文章编号] 1674-4721（2019）6（b）-0183-04

[Abstract] Objective To understand the pre-interventions for irrational prescriptions in outpatient clinics and to promote rational use of drugs in outpatient clinics. Methods The unreasonable prescriptions in outpatient clinics with pre-interventions of Cancer Hospital of General Hospital of Ningxia Medical University from January to December 2016 were collected， classified， counted and evaluated， and the causes and avoidance measures were analyzed. Results According to statistics， in 403 unreasonable prescriptions with pre-intervention， 352 prescriptions were not standardized， 44 prescriptions were not suitable for medication， 7 were abnormal prescriptions， and 327 prescriptions recommended by pharmacists were accepted by physicians， with an intervention success rate of 81.14%. Conclusion Through pharmacist review， pre-intervention of unreasonable prescriptions can reduce and prevent the occurrence of irrational use of drugs in a timely manner， thereby effectively ensuring the quality of prescriptions and regulating the safety and rationality of patient medication.

[Key words] Pre-intervention; Unreasonable prescription; Rational use of drugs; Non-standard prescription; Abnormal prescription

处方是由注册的执业医师或执业助理医师为患者诊断、预防或治疗疾病而开具的用药指令，是药学专业技术人员为患者审核、调配、核对、发药的医疗文书，是处方开具者与处方调配者之间的书面依据，具有法律、技术和经济上的意义[1]。处方是否合理，关乎医患关系、医疗质量甚至生命安全。为了解宁夏医科大学总医院肿瘤医院门诊不合理处方现状，对2016年的门诊事前干预的不合理处方进行回顾性分析，以探索不合理处方干预的可行性流程，不断提高处方质量，为临床合理用药提供参考。

1资料与方法

1.1一般资料

收集2016年1～12月宁夏医科大学总医院肿瘤医院门诊药房，药师从药师审方系统（HIS）中记录留存的事前干预的不合理处方，共403张。

1.2方法