Kofoed L, Bloom J D, Williams M H, Rhyne C, Resnick M
West J Med. 1989 May;150(5):597-601.
We retrospectively reviewed all allegations of inappropriate prescribing investigated by the Oregon Board of Medical Examiners from 1981 through 1986. Inappropriate prescription writing accounted for 51% of all investigations during this period, with controlled drugs, primarily opiates and benzodiazepines, accounting for most complaints. Of 130 physicians investigated, more than half had previous complaints; 50 were ultimately restricted or disciplined by the board. Inappropriate prescribing of controlled drugs is probably underdetected and frequently repeated. Available literature suggests that inappropriate prescribing of other drugs, especially antibiotics, is extremely common, but such problems were rarely identified by the current discovery and review processes of the Oregon board. Inappropriate prescribing will require increased attention from physician educators and licensing boards.
我们回顾性地审查了俄勒冈州医学考试委员会在1981年至1986年期间调查的所有不当处方指控。在此期间，不当处方书写占所有调查的51%，其中受管制药物，主要是阿片类药物和苯二氮䓬类药物，引发了大多数投诉。在接受调查的130名医生中，超过一半曾有过投诉；最终有50人受到委员会的限制或纪律处分。受管制药物的不当处方可能未被充分发现且经常重复出现。现有文献表明，其他药物，尤其是抗生素的不当处方极为常见，但俄勒冈州委员会目前的发现和审查程序很少发现此类问题。不当处方问题需要医生教育工作者和执照颁发委员会给予更多关注。
