Improper prescriptions include: inappropriate indications, inappropriate drug selection, inappropriate drug dosage form or route of administration, inappropriate national essential drugs without justifiable reasons, inappropriate usage and dosage, inappropriate combination drugs, repeated administration, incompatibility or adverse interaction, and inappropriate other drugs.
Prescription refers to the medical documents issued by registered medical practitioners and assistant medical practitioners for patients in their diagnosis and treatment activities, which are reviewed, deployed and checked by pharmaceutical professional and technical personnel who have obtained the qualifications for pharmaceutical professional and technical positions, and serve as the patient's medication certificate. Prescriptions include medical institution ward medication orders. Prescription is a written certificate for doctors to use drugs for patients, and it is the basis for pharmacists to allocate drugs, which has legal, technical and economic responsibilities.
What are the three types of unreasonable prescriptions?
The prescription is not standardized, the medication is improper, and the prescription is too long.
In any of the following circumstances, the prescription is judged to be irregular.
1. The preface, text and postscript of the prescription are missing, and the writing is irregular or illegible.
2. The signature or seal of the doctor is not standardized or inconsistent with the signature or seal 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. Prescriptions for premature infants, newborns and infants do not indicate the weight, date and month age.
5, chemical drugs, Chinese patent medicines, Chinese herbal pieces are not prescribed separately.
6, did not use the name of the drug instructions prescription.
7. The dosage, specification, quantity and unit of drugs are not standardized or clear.
8. Usage and dosage are ambiguous words such as "according to 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.
10, clinical diagnosis is not written in the prescription or the clinical diagnosis is incomplete.
1 1, and more than 5 drugs were prescribed in a single outpatient emergency.
12. Under no special circumstances, the outpatient prescription is used for more than 7 days, the emergency prescription is used for more than 3 days, and the prescription dose needs to be appropriately extended due to chronic diseases, senile diseases or special circumstances, and the reasons are not indicated.
13. Prescriptions of narcotic drugs, psychotropic drugs, toxic drugs for medical use, radioactive drugs and other special management drugs. Not in accordance with the relevant provisions of the state (including prescription color, dosage, supporting documents, etc.). ).
14, the doctor failed to prescribe antibiotics according to 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.