Common causes of errors in clinical prescription of traditional Chinese medicine decoction piecesand evaluation of intervention effects
临床开具中药饮片处方常见差错原因及点评干预效果

摘要

目的 分析临床中中药饮片处方常见的错误原因，并探讨处方点评干预的效果和意义。方法 选取南通市通州区第二人民医院2019年1月至2020年12月开具的2350张中药饮片处方，其中2019年未实施处方点评的1170张处方作为对照组，2020年实施处方点评的1180张处方作为干预组。统计差错类型、差错率和差错原因。结果 两组差错率的差异有统计学意义（P<0.05）。结论 中药饮片处方点评是一种有效的质量管理手段，能够保证患者用药的合理性和安全性，对提高治疗效果和改善医患关系有着重要的意义。

Abstract

Objective To analyze the common causes of errors in the prescription of traditional Chinese medicine decoction pieces, and explore the effectiveness and significance of prescription review intervention.
Methods 2350 prescriptions for traditional Chinese medicine decoction pieces issued by the Second People's Hospital of Tongzhou District, Nantong City from January 2019 to December 2020 were selected. Among them, 1170 prescriptions without prescription review in 2019 were used as the control group, and 1180 prescriptions with prescription review in 2020 were used as the intervention group. Statistical analysis of error types, error rates, and error causes.
Results The difference in error rates between the two groups was statistically significant (P<0.05).
Conclusion   Prescription review of traditional Chinese medicine decoction pieces is an effective quality management method that can ensure the rationality and safety of patient medication, and has important significance in improving treatment effectiveness and doctor-patient relationship.