Mainly refers to the prescriptions contained in Pharmacopoeia, ministerial standards and local standards. It is legally binding, and all legal preparations made or written by doctors must abide by its regulations.
2. Doctor's prescription
A doctor's prescription is a written certificate that a doctor uses drugs for individual patients. Prescription is not only a written document to distribute drugs to patients, but also has legal, technical and economic significance. Doctors or pharmaceutical personnel are legally responsible for medical accidents caused by prescriptions. The technical significance of the prescription lies in that it stipulates the name, quantity, dosage form, usage and dosage of the drug, and ensures the specification, safety and effectiveness of the drug. From an economic point of view, the consumption and economic value of drugs, especially precious drugs, poisons and narcotic drugs, are checked and counted according to prescriptions, which can be used as the basis for reimbursement, procurement, budget, production materials and cost accounting.
3. Classification of prescription audit results
Prescription audit results are divided into reasonable prescriptions and unreasonable prescriptions. Unreasonable prescriptions include nonstandard prescriptions, inappropriate prescriptions and abnormal prescriptions. (a) under any of the following circumstances, it shall be judged as non-standard prescription.
1. The preface, text and postscript of the prescription are missing, and the writing is irregular or illegible;
2. The doctor's signature and signature are not standardized or inconsistent with the signature and signature sample;
3. Pharmacists failed to review the suitability of prescriptions (post-prescription review, deployment, check and dispensing columns failed to review and check the signature of dispensing pharmacists, or single-person duty dispensing failed to implement the requirement of double signature);
4. Premature infants, newborns, infants and young children's prescriptions do not indicate the weight or the day and month age;
5. Chemicals, Chinese patent medicines and Chinese herbal pieces are not prescribed separately;
6. Prescribing without using the name of the drug instruction;
7. The dosage, specification, quantity and unit of drugs are not standardized or clear;
8. Usage and dosage Use vague words such as "following doctor's advice" and "for personal use";
9. The prescription modification is not signed and the date of modification is indicated, or the reason of drug overdose is not indicated and signed again;
1 0. Clinical diagnosis is not written in the prescription or the clinical diagnosis is incomplete;
1 1. More than 5 drugs are prescribed in a single outpatient emergency;
12. Under no special circumstances, the prescription dosage for outpatient service exceeds 7 days, the prescription dosage for emergency service exceeds 3 days, and the prescription dosage needs to be appropriately extended due to chronic diseases, senile diseases or special circumstances without indicating the reasons;
13. Prescriptions of narcotic drugs, psychotropic drugs, toxic drugs for medical use, radioactive drugs and other special management drugs. Failure to implement the relevant provisions of the state (including prescription color, dosage, supporting documents, etc.). );
14. The doctor failed to prescribe antibacterial drugs in accordance with the Management Regulations on Clinical Application of Antibacterials;
15. Prescription drugs of Chinese herbal pieces are not arranged in the order of "monarch, minister, assistant and envoy", or special requirements such as dispensing and decocting are not marked as required.
(2) Under any of the following circumstances, it shall be judged that the drug is not suitable for prescription.
1. Improper indications;
2. The selected drugs are not suitable;
3. The dosage form or route of administration of the drug is inappropriate;
4. Not giving priority to the use of national essential drugs without justifiable reasons;
5. Improper usage and dosage;
6. Improper drug combination;
7. Repeated administration;
8. Compatibility contraindications or adverse interactions;
9. Other drugs are not suitable.
(3) In any of the following circumstances, it shall be judged as an unconventional prescription.
1. No indication;
2. Prescribing high-priced drugs without justifiable reasons;
3. Using drugs beyond the instructions without justifiable reasons;
4. Prescribing two or more drugs with the same pharmacological effects for the same patient without justifiable reasons.