2411张门诊抗糖尿病药处方不合理用药帕累托图分析

目的：了解上海市闵行区古美社区卫生服务中心（以下简称＂我院＂）门诊抗糖尿病药处方不合理用药的集中趋势和主要原因,为开发抗糖尿病药合理应用精细化管理监控平台提供依据。方法：2015年8月1日—2016年7月31日我院门诊共48 211张抗糖尿病药处方,其中2 411张处方存在不合理用药,分别为用法与用量不适宜、联合用药不适宜、遴选药品不适宜、适应证不适宜、给药途径不适宜、重复给药等6类,采用帕累托图法对不合理用药各类型进行分析。结果：抗糖尿病药处方不合理用药的主要因素为用法与用量不适宜、联合用药不适宜;次要因素为遴选药品不适宜、适应证不适宜;一般因素为给药途径不适宜、重复给药。结论：应针对不合理...

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Bibliographic Details
Published in中国医院用药评价与分析 Vol. 17; no. 3; pp. 385 - 387
Main Author 金蕾 杨耀芳 魏新萍 储继志 陈家仪
Format Journal Article
LanguageChinese
Published 上海市闵行区卫生和计划生育委员会,上海 201199 2017
上海市闵行区古美社区卫生服务中心,上海,201102%上海市闵行区古美社区卫生服务中心,上海 201102
Subjects
不合理用药
帕累托图分析
抗糖尿病药处方
门诊
门诊
不合理用药
Prescription on antidiabetic drugs
Irrational drug application
Outpatient
抗糖尿病药处方
Pareto diagram analysis
帕累托图分析
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Summary:目的：了解上海市闵行区古美社区卫生服务中心（以下简称＂我院＂）门诊抗糖尿病药处方不合理用药的集中趋势和主要原因,为开发抗糖尿病药合理应用精细化管理监控平台提供依据。方法：2015年8月1日—2016年7月31日我院门诊共48 211张抗糖尿病药处方,其中2 411张处方存在不合理用药,分别为用法与用量不适宜、联合用药不适宜、遴选药品不适宜、适应证不适宜、给药途径不适宜、重复给药等6类,采用帕累托图法对不合理用药各类型进行分析。结果：抗糖尿病药处方不合理用药的主要因素为用法与用量不适宜、联合用药不适宜;次要因素为遴选药品不适宜、适应证不适宜;一般因素为给药途径不适宜、重复给药。结论：应针对不合理用药的因素,开发抗糖尿病药应用在线监测系统,及时干预用药过程中存在的各类问题,从而促进抗糖尿病药的合理应用。
Bibliography:OBJECTIVE： To investigate the centralized tendency and main causes of irrational application of antidiabetic drugs in outpatients of Shanghai Minhang District Gumei Community Health Center（ hereinafter referred to as ＂our hospital＂）,so as to provide reference for the delicacy management and monitoring of platform of antidiabetic drugs. METHODS： 48 211 outpatient prescriptions with antidiabetic drugs were collected from Aug. 1st 2015 to Jul.31 st 2016,of which 2 411 prescriptions were irrational drug use,mainly performed as improper usage and dosage,improper drug combination,irrational drug selection,irrational indications,irrational route of administration and drug repetition. Pareto diagram was used to analyze different types of irrational drug application. RESULTS： The main causes of irrational application of antidiabetic drugs were improper usage and dosage and improper drug combination;followed by irrational drug selection,irrational indications,irrational route of administration and drug repetition.CONCL
ISSN:1672-2124
DOI:10.14009/j.issn.1672-2124.2017.03.035