某精神专科医院2015年门诊药房超说明书用药处方分析
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篇名: 某精神专科医院2015年门诊药房超说明书用药处方分析
TITLE:
摘要: 目的:了解精神专科医院超说明书用药现状,为制定超说明书用药政策提供基线数据。方法: 从我院2015年医院信息系统分层抽取门诊处方,以药品说明书为依据,从超说明书用药种类、疾病诊断、开方医师等方面分析超说明书用药情况。结果: 共抽取7 300张处方,占2015年门诊药房处方总数的2.6%。其中,超说明书用药处方715张,占抽取处方的9.8%。超说明书用药处方中按种类分类居前3位的分别是超适应证(64.1%)、超给药频次(17.3%)和超适应人群(12.2%);按疾病诊断分类居前3位的分别是多动症(22.0%)、抑郁症(21.7%)和阿尔茨海默病(16.3%);按开方医师职称排名首位的是住院医师。结论: 我院门诊超说明书用药现象较为普遍,应引起重视。我院将以初级职称医师作为改进超说明书用药的突破点,并加强对超说明书处方进行分类点评。
ABSTRACT: OBJECTIVE: To learn the situation of off-label drug use in psychiatric hospital and provide baseline data for formulating off-label drug use policy. METHODS: The stratified random sampling was conducted to select outpatient prescriptions from our hospital in 2015. According to drug instructions, all off-label drug use was analyzed in the following aspects, the category of off-label drug use, disease diagnosis, the category of doctors. RESULTS: Totally 7 300 prescriptions were collected, accounting for 2.6% of total in outpatient pharmacy in 2015. There were 715 prescriptions of off-label drug use, accounting for 9.8% of total. Top 3 types were extra-indication (64.1%), extra-DDDs (17.3%) and extra-suitable population (12.2%); top 3 disease types were MBD (22.0%), depression (21.7%) and Alzheimer’s disease (16.3%). Inpatient physicians took up the first place among all physicians who prescribed prescriptions. CONCLUSIONS: Off-label use in outpatient pharmacy is common in our hospitals. The physicans with primary title should be considered as break through point of improving off-label drug use, and great importance should be attached to the classification and evaluation of off label drug use prescriptions.
期刊: 2016年第27卷第11期
作者: 杨荣梅,王艳涛
AUTHORS: YANG Rongmei,WANG Yantao
关键字: 超说明书用药;精神专科医院;门诊药房;处方分析
KEYWORDS: Off-label drug use; Psychiatric hospital; Outpatient pharmacy; Prescription analysis
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