Shuhua Shi1,2, Jie Liu1, Zhizhong Yuan2, Xiaoying Zhou1
1School of Pharmacy, Changzhou University, Changzhou, 213164, Jiangsu, China
2Department of Pharmacy, People's Hospital of Shangshui, 466100, Zhoukou, Henan, China
Objective: Analyze the unreasonable prescriptions of diabetic patients in the outpatient and emergency department of our hospital, and provide references for the rational use of drugs by diabetic patients. Methods: The prescriptions (total 12704) for diabetic patients were collected in Outpatient and Emergency Pharmacy from January to December 2020, and several parameters were counted, such as the basic conditions of diabetic patients, the number, types and proportion of unreasonable prescriptions, and the distribution of different departments. Results: The average age of patients was (63.75±12.02) years old. There were 7692 patients between 60 and 79 years old, accounting for 60.55%, and there were more male patients than female patients; 1,291 unreasonable prescriptions, accounting for 10.16%; The top three in the distribution of irrational prescription departments were 913 in internal medicine of Traditional Chinese Medicine, accounting for 70.72%, 125 in respiratory medicine, accounting for 9.68%, and 98 in neurology, accounting for 7.59%. The prescription failure rates of general internal medicine was the lowest 7.44%, and the prescription failure rate of the dialysis center was the highest 43.75%; Among the unreasonable prescription types, there were 1106 prescriptions with inappropriate drug usage and dosage, accounting for 85.67%, followed by 160 prescriptions with inappropriate dosage form or route of administration, accounting for 12.39%. Conclusion: The prescriptions for diabetic patients in the Outpatient and Emergency Department of our hospital are basically reasonable, but some non-endocrine departments have a high rate of prescription failure. It is necessary to improve the problems of irrational prescriptions to improve the quality of prescriptions and the level of reasonably clinical use of drugs.
Diabetes, irrational prescription, prescription analysis, rational use of drugs
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