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伊朗设拉子门诊处方中教职医生和非教职医生用药错误的评估

Evaluation of Faculty and Non-faculty Physicians' Medication Errors in Outpatients' Prescriptions in Shiraz, Iran.

作者信息

Misagh Pegah, Vazin Afsaneh, Namazi Soha

机构信息

Department of Pharmacotherapy, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Pharmacotherapy, School of Pharmacy, Tehran University of Medical Sciences, Tehran , Iran.

出版信息

Iran J Pharm Res. 2018 Winter;17(Suppl):151-158.

Abstract

This study was aimed at finding the occurrence rate of prescription errors in the outpatients› prescriptions written by faculty and non-faculty physicians practicing in Shiraz, Iran. In this cross-sectional study 2000 outpatient prescriptions were randomly collected from pharmacies affiliated with Shiraz University of Medical Sciences (SUMS) and social security insurance in Shiraz, Iran. Patient information including age, weight, diagnosis and chief complain were recorded. Physicians 'characteristics were extracted from prescriptions. Prescription errors including errors in spelling, instruction, strength, dosage form and quantity as well as drug-drug interactions and contraindications were identified. The mean ± SD age of patients was 37.91 ± 21.10 years. Most of the patients were male (77.15%) and 81.50% of patients were adults. The average total number of drugs per prescription was 3.19 ± 1.60. The mean ± SD of prescription errors was 7.38 ± 4.06. Spelling error (26.4%), instruction error (21.03%), and strength error (19.18%) were the most frequent prescription errors. The mean ± SD of prescription errors was 7.83 ± 4.2 and 6.93 ± 3.88 in non-faculty and faculty physicians, respectively (P < 0.05). Number of prescription errors increased significantly as the number of prescribed drugs increased. All prescriptions had at least one error. The rate of prescription errors was higher in non-faculty physicians. Number of prescription errors related with the prescribed drugs in the prescription.

摘要

本研究旨在找出伊朗设拉子地区执业的教职医生和非教职医生所开具的门诊处方中的处方错误发生率。在这项横断面研究中,从伊朗设拉子医科大学(SUMS)附属药房和设拉子的社会保险机构随机收集了2000份门诊处方。记录了患者信息,包括年龄、体重、诊断和主要症状。从处方中提取医生的特征。识别出的处方错误包括拼写、用法说明、规格、剂型和数量方面的错误,以及药物相互作用和禁忌。患者的平均年龄±标准差为37.91±21.10岁。大多数患者为男性(77.15%),81.50%的患者为成年人。每张处方的平均药物总数为3.19±1.60。处方错误的平均±标准差为7.38±4.06。拼写错误(26.4%)、用法说明错误(21.03%)和规格错误(19.18%)是最常见的处方错误。非教职医生和教职医生处方错误的平均±标准差分别为7.83±4.2和6.93±3.88(P<0.05)。随着所开药物数量的增加,处方错误数量显著增加。所有处方至少有一处错误。非教职医生的处方错误率更高。处方错误数量与处方中的所开药物有关。

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