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Objective To advance prescription quality and standardize prescriptions by analyzing outpatient prescriptions,so as to accommodate the clinic treatment.Methods Judging and analyzing 300 random samples of outpatient prescriptions drew out in the second season in 2010,according to measures for the administration of prescriptions and measures for the administration of prescriptions in hospital.Results There are 144 illogical prescriptions(48.00 percent),114 nonstandard prescriptions(38.00 percent),13 inexact prescriptions(4.33 percent) and 17 excess prescriptions(5.67 percent) in the 300 random samples.Conclusion There is much matter in outpatient prescriptions,and eligible prescriptions are deficient.We shoud study measures for the administration of prescriptions more hard to advance prescription quality and standardize prescriptions,so as to accommodate the clinic treatment.
Outpatient clinic
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To the Editor.— Being a registered pharmacist as well as a physician, I can foresee that the Poly-Prescription described and illustrated by Patterson ( 216 :2141, 1971) will also be a horrifying document to the pharmacist. There is no room left on these individual prescription lines for the information which a pharmacist must put on each prescription to record its filling. For instance, each prescription must have a number which is usually stamped on the prescription, plus the price, and the initials of the pharmacist who fills the prescription, the date on which it was filled, and the dates of each refill. If the prescription was a generic one, the pharmacist writes in the trade name of the drug used. In addition to this, the new law requires that a red letter C no less than one inch in height be stamped on the face of certain prescriptions for certain control
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Objective To explore the effect of prescription evaluation system on rational drug use.Methods A total of 825 prescriptions written for medications in Shenzhen Bao'an District Fuyong People's Hospital between 2012-2013 were selected as the research subjects and were divided into two groups. The prescription evaluation system was used in intervention group,but not in non-intervention group. The basic prescription indexes and the proportion of irrational prescriptions were compared between the two groups. Results Compared with non-intervention group,the basic prescription indexes were significantly improved in intervention group( P 0. 05). In addition, the proportions of non-standard prescriptions,inappropriate medication prescriptions and unconventional prescriptions in intervention group were significantly lower than those in non-intervention group(P0.05). Conclusion Prescription evaluation system can significantly increase the proportion of rational prescriptions and reduce unreaso-nable prescription-induced adverse reactions and medical costs.Therefore,prescription evaluation system has an important clinical value.
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This essay systematically discussed the creation idea and application mode of ‘main disease-main prescription'on the basis of defining the connotation of ‘main disease-main prescription' ‘specific disease-specific prescription' and ‘prescriptions that can cure many diseases'.It also pointed out that ‘main disease-main prescription' is aimed at the main pathogenesis through the whole course of disease, and one prescription is used as the main prescription, modified according to the state of illness, syndrome and constitution of patients.It reflects the view of uniform of disease, constitution and syndrome. It differed from‘specific disease-specific prescription' and prescriptions that can cure many diseases. Its creation idea mainly includes discriminating pathogenesis, differentiating constitutions, transplantation, combination and creation. Its application mode includes main prescription-plus minus, jointed prescriptions-dissemble, constitution regulation prescription and sequential prescription. 2 cases were attached in the back part of the text for further demonstration.
Connotation
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Objective: To analyse Chinese medicine prescriptions of our hospital,to promote clinic prescription better.Methods: 1 825 Chinese medicine prescriptions of our hospital were analysed from January to December in 2010.Results: The failure prescriptions had a 21.2% share in the whole prescriptions,there were some ways in the prescriptions such as incomplete prescription,drug use and diagnostics discrepant,improper usage and dosage,incompatibility of drugs in a prescription,repeat medication and combination not appropriate.Conclusion: The author considers we should analyse prescription regularly in order to promote doctors and pharmacists' medicine knowledge and use Chinese medicine reasonable.
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Objective To compare and analyze the changes in quality of outpatient prescription before and after the implementation of comment on prescription,which includes the reasonableness of the use of medicine and the qualified rate of the writing of prescription.Methods The comment was made on the prescriptions of the patients who were diagnosed in the outpatient department of our hospital from 2006 to 2007.Results After the impIementation of comment on prescription,the rate of probiem prescription was 3.66%,which was absolutely lower than that before the implementation of comment on prescription(14.1%).Conclusions After the comment on unreasonable prescriptions and unreasonable use of medicine,the interference and warning for the reasonable prescription of medical practi-tioner would be strengthened,which would make the management of medicine,writing out and adjustment of prescription and control of medical cost more Scientific,reasonable and standard.
Key words:
Comment on prescription; Quality of prescription; Comparative analvsis
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Duplicate prescription pads are used in many family practice residency programs to monitor prescribing patterns and detect errors in the actual prescription-writing process. This study looked at whether the review of duplicate prescriptions could be enhanced by adding the patient's diagnosis to the prescription.The prescription-writing errors of Shaughnessy and Nickel were revised to include prescription-writing markers. These markers were defined as either an indication of use or a duration of therapy that differed from current medical literature or manufacturers' recommendations. Duplicate prescriptions of first-year family practice residents were reviewed for prescription-writing errors and markers before and after an in-service training regarding prescription writing.Following the in-service training, the number of prescriptions containing the patient's diagnosis increased significantly (20% to 61%). Nineteen percent of all prescriptions contained prescription-writing errors. Eight percent of the prescriptions with the patient's diagnosis contained prescription-writing markers.The addition of the patient's diagnosis to the prescription enhanced the review of duplicate prescriptions. It permitted the evaluation of not only the prescription-writing process but also the decision-making process that led to writing the prescription. It also permitted a more thorough evaluation of appropriate drug use.
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