处方书写中的法律问题：对尼日利亚两家医疗机构的研究

Erhun Wilson O, Adekoya Olalekan A, Erhun Mercy O, Bamgbade Olukemi O

Department of Clinical Pharmacy and Pharmacy Administration, Obafemi Awolowo University, Ile-Ife, Nigeria.

Int J Pharm Pract. 2009 Jun;17(3):189-93.

OBJECTIVES

This study examined the degree of deviation (from both World Health Organization (WHO) specifications and the particular institution's specifications) on the part of prescribers in adequately filling prescription forms and the legal implications of such deviations for the prescriber and the institution.

METHODS

The study was carried out at the Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) and Obafemi Awolowo University Health Centre, Ife-Ife, Nigeria. The Teaching Hospital is a 1000-bed tertiary health care facility that serves as a training centre for health professionals. The Health Centre is a 25-bed health care facility. A random sample of prescriptions received from the Pharmacy Department of the OAUTHC and the Obafemi Awolowo University Health Centre were analysed.

KEY FINDINGS

For the Teaching Hospital, the prescriber's name and signature were on 80 and 96% of the prescriptions, respectively, whereas all prescriptions from the Health Centre contained this information. For the Teaching Hospital, 100, 1.8, 93.8 and 98.4% of prescriptions contained the patient's name, address and age, and the date, respectively, whereas 99.6, 86.4 and 99.9% of prescriptions from the Health Centre contained patient code number, age and the date respectively. The precentages of completely filled prescriptions for the Teaching Hospital and the Health Centre were 1.3 and 85.9% respectively. Prescription patterns for the major drug classes in both institutions were compared and related to the level of deviation from the ideal prescription-writing specifications of the WHO.

CONCLUSIONS

The legal implications of non-compliance with WHO standards in prescription writing are discussed, with appropriate recommendations.

目的

本研究调查了开处方者在填写处方表格时偏离（与世界卫生组织（WHO）规范以及特定机构规范相比）的程度，以及这种偏离对开处方者和机构的法律影响。

方法

该研究在尼日利亚伊费-伊费的奥巴费米·阿沃洛沃大学教学医院综合院区（OAUTHC）和奥巴费米·阿沃洛沃大学健康中心开展。教学医院是一家拥有1000张床位的三级医疗保健机构，也是卫生专业人员的培训中心。健康中心是一家拥有25张床位的医疗保健机构。对从OAUTHC药房和奥巴费米·阿沃洛沃大学健康中心收到的处方进行随机抽样分析。

主要发现

对于教学医院，分别有80%和96%的处方有开处方者的姓名和签名，而健康中心的所有处方都包含此信息。对于教学医院，分别有100%、1.8%、93.8%和98.4%的处方包含患者姓名、地址、年龄和日期，而健康中心分别有99.6%、86.4%和99.9%的处方包含患者代码、年龄和日期。教学医院和健康中心完全填写的处方百分比分别为1.3%和85.9%。比较了两个机构中主要药物类别的处方模式，并与偏离WHO理想处方书写规范的程度相关联。