Comments and Analysis of Outpatient Prescriptions in Our Hospital

OBJECTIVE: To analyze the quality of outpatient prescription writing and rational drug use in our hospital, and to promote the clinical use of drugs. METHODS: According to Prescription Management Methods, Guidance and Principle for Clinical Use of Antibiotics and Management Criteria of Hospital Prescription Comment (trial), 1 800 outpatient prescriptions were randomly collected from our hospital during Mar.-Aug. 2010. Basic index of prescription were analyzed. The prescription writing, reasonability of drug use and extraordinary prescription were evaluated (if there was one unqualified item in prescription, the prescription was considered as unqualified), and some suggestions were put forward. RESULTS CONCLUSIONS: 2.1 kinds of drugs are used every prescription in our hospital averagely, antibiotics account for 18.7%. There are 471 irrational prescriptions, among which 415 prescriptions are unqualified in writing, such as no clinical diagnosis, non-standard writing of drug dose; 49 prescriptions are unqualified in reasonability of drug use, such as irrational drug selection, repeated drug use; there are 7 extraordinary prescriptions, such as prescribing 2 drugs which have same pharmacological effect, drug use without indications. The pass rate of prescription is relatively low, over-application of antibiotics is widespread. It is suggested to strengthen the awareness of physicians on standard prescription writing, communication of pharmacist and physicians, and establish prescription quality management system to improve the quality of outpatient prescription.