François P, Chirpaz E, Bontemps H, Labarère J, Bosson J L, Calop J
Fédération d'Evaluation, Grenoble, France.
Clin Perform Qual Health Care. 1997 Jul-Sep;5(3):111-5.
To evaluate the quality of prescription writing at a university hospital in France.
DESIGN/PATIENTS: Each of the 42 medical, surgical, and intensive-care departments were invited to participate in the study. The initial medication orders were reviewed for 866 patients, resulting in 3,254 medications prescribed. One prescription per patient was reviewed for a total of 866 patients, presenting 3,254 medications.
Of the 866 prescriptions reviewed, 95.5% were dated. Patient identification was complete in 35.3%. The prescriber was identified properly by both full name and signature in 7.5% of prescriptions. Medication information was complete in only 24% of cases.
This study showed that prescriptions were not written correctly. Results of this study have been disseminated, and education has begun on proper prescription practice.
评估法国一家大学医院的处方书写质量。
设计/患者:邀请了42个内科、外科和重症监护科室参与该研究。对866名患者的初始用药医嘱进行了审查,共开出3254种药物。对866名患者每人的一张处方进行了审查,共涉及3254种药物。
在审查的866张处方中,95.5%标注了日期。35.3%的处方中患者身份信息完整。仅7.5%的处方中开方者的全名和签名均正确标识。仅24%的病例中用药信息完整。
本研究表明处方书写不正确。该研究结果已进行了传播,并已开始针对正确的处方开具规范进行教育。