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法国一家大学医院处方书写质量评估

Evaluation of prescription-writing quality in a French university hospital.

作者信息

François P, Chirpaz E, Bontemps H, Labarère J, Bosson J L, Calop J

机构信息

Fédération d'Evaluation, Grenoble, France.

出版信息

Clin Perform Qual Health Care. 1997 Jul-Sep;5(3):111-5.

Abstract

OBJECTIVE

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.

RESULTS

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.

CONCLUSION

This study showed that prescriptions were not written correctly. Results of this study have been disseminated, and education has begun on proper prescription practice.

摘要

目的

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。

结果

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。

结论

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。

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