Objective: To analyze the reasons and characteristics of unreasonable use of antibiotics in outpatient and emergency department, and to promote the rational use of antibiotics. Methods: The TOP 50 prescriptions of antibiotics issued by doctors in the three years from 2016 to 2018 (10 prescriptions per person, 500 prescriptions per month, a total of 18,000) were selected to comment on the rationality of their use, and the reasons and countermeasures of unreasonable prescriptions were found by using Pareto Chart according to the types of irrational medication. Results: 18 000 copies of this antimicrobial prescription, 1 467 drug prescription had unreasonable factors, including the selection of drugs, dosage form, drug delivery and usage; dosage was not suitable for 71.30% (1 046), the secondary factor for sequential medicine choice was not suitable for 94 cases (6.41%), not in the absence of any special priority selection of essential medicines 76 cases (5.18%) and therapeutic use of antimicrobial agents was greater than the reasonable treatment 3 d (contain more than 3 days) 69 cases (4.70%). Conclusion: The main factors that led to unreasonable drug use were analyzed by Pareto Chart, intervention and improvement plan was effectively made, so as to improve the rationality of clinical antibiotics medication of outpatient and emergency.
ZHAO Hua, GUO Sheng-lan, WEI Li-qin, WANG Hao-kui, FANG Jian, LUO Chong-bin.
Pareto Analysis of Unreasonable Medication of 1 467 Prescriptions of Antibiotics in Outpatient and Emergency in a Hospital. KANGGANRAN YAOXUE. 2020, 17(6): 805-808 https://doi.org/10.13493/j.issn.1672-7878.2020.06-008