Causes and coping methods of unreasonable prescriptions in outpatient pharmacy

Abstract

Objective To organize the prescription data of the patients in the western medicine department of our hospital, and to explore the unreasonable prescriptions in the clinical application of western medicine pharmacy at the outpatient department, and to analyze the countermeasures. Methods From November 2016 to November 2017, 2 568 prescriptions at the outpatient pharmacy were selected; the unreasonable problems in the prescriptions were analyzed; and the happening of the unreasonable prescription and countermeasures were summarized. Results There were unreasonable 265 prescriptions; 10.31% got prescription medication problems, 20.75% unreasonable drug selection, 13.96% unreasonable combination, 15.47% over-dosage, 8.30% unreasonable frequency, 21.50% unreasonable drug delivery ways, 8.30% unreasonable drug solvent, and 11.69% unreasonable interval. Conclusion During the process of drug use at out-patient department, if the work can't be carried out in accordance with the regulations and system specification strictly, unreasonable prescriptions will appear; pharmacists' professional quality and ability will directly affect the rationality of outpatient medicine prescriptions; the professional quality of pharmacists and skill training should strengthened; the system of outpatient pharmacy administration should be strict; and drug prescription rationality should be improved. Key words: Western medicine clinic; Unreasonable use of drugs; Prescription analysis; Problems and countermeasures