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Interpretation of prescription review results

The prescription review results are divided into reasonable prescriptions and unreasonable prescriptions. Unreasonable prescriptions include irregular prescriptions, inappropriate prescriptions and abnormal prescriptions.

1. Prescriptions shall be judged as irregular if any of the following conditions occur:

(1) The prescript, main text, and postscript of the prescription are missing, the writing is irregular, or the handwriting is irregular Illegible;

(2) The doctor’s signature and seal are not standardized or inconsistent with the signature and seal samples;

(3) The pharmacist has not reviewed the suitability of the prescription ( The review, dispensing, checking, and dispensing columns of the prescription postscript do not have the signature of the dispensing pharmacist for review, or the double signature rule is not implemented for single-person dispensing);

(4) Newborns and premature infants , Prescriptions for infants and young children do not specify weight or age in days and months;

(5) Chemical drugs, Chinese patent medicines and Chinese herbal pieces are not prescribed separately;

(6) No drugs are used Prescribe with standardized names;

(7) The dosage, specification, quantity, unit, etc. of the drug are not written in a standardized or unclear manner;

(8) Use "Follow the doctor's instructions" for usage and dosage. , "for personal use" and other ambiguous words;

(9) The modification of the prescription is not signed and the modification date is not indicated, or the reason for overdose of the drug is not indicated and the signature is not confirmed again;

< p> (10) The clinical diagnosis is not stated in the prescription or the clinical diagnosis is incompletely written;

(11) More than 5 kinds of medicines are prescribed in a single outpatient or emergency department;

(12) None Under special circumstances, outpatient prescriptions exceed 7 days' dosage, and emergency prescriptions exceed 3 days' dosage. In chronic diseases, geriatric diseases or special circumstances, the prescription dosage needs to be extended without stating the reason;

(13) Prescribing narcotic drugs, Prescriptions for psychotropic drugs, medical toxic drugs, radioactive drugs and other specially managed drugs do not comply with relevant national regulations (including the color of prescription paper, drug dosage, certification documents, etc.);

(14) Physicians do not follow the instructions for antibacterial drugs Clinical application management stipulates the prescription of antibacterial drugs;

(15) The prescription drugs of traditional Chinese medicine decoction pieces are not arranged in the order of "lord, minister, auxiliary, and envoy", or the special instructions such as drug dispensing and decoction are not marked as required. Require.

2. Those who have any of the following circumstances should be judged as inappropriate prescriptions

(1) Unsuitable indications

(2) Unsuitable selection of drugs Suitable

(3) Drug dosage form or route of administration is not suitable

(4) National essential drugs are not preferred without justifiable reasons

(5) Usage and dosage Not suitable

(6) Unsuitable for combined use

(7) Repeated administration

(8) Incompatible or adverse interactions

(9) Other situations in which medication is inappropriate

3. Anyone who has one of the following conditions should be judged as an extraordinary prescription

(1) Medication without indication

(2) Prescribing high-priced drugs without justifiable reasons

(3) Using drugs off-label without justifiable reasons

(4) Prescribing two or more pharmacological drugs to the same patient at the same time without justifiable reasons Drugs with the same mechanism of action

Handling of review results:

When the pharmacist discovers that the prescription is disadvantageous to the patient or has other questions during the review process, the pharmacist should contact the prescribing physician for intervention , it can be deployed only after the doctor corrects and signs for confirmation.

Prescriptions that involve serious drug abuse or medication errors should be refused to be dispensed and reported in accordance with relevant regulations.