我院2013年住院病区医嘱审核情况分析

发布时间：2018-02-01 07:27

本文关键词： 合理用药监测系统医嘱审核合理用药　出处：《中国药房》2015年05期 　论文类型：期刊论文

【摘要】：目的:利用合理用药监测系统实现全医嘱审核,为临床合理用药提供参考。方法:整理、归纳、分析我院2013年所有住院医嘱中的不合理用药问题,记录不合理医嘱所使用的药物、数量以及警示内容。结果:共审核医嘱约120万条,发现不合理医嘱2 888条,占0.24%。其中,黑色警示医嘱1 711条(占不合理医嘱总数的59.25%);红色警示医嘱1 177条(占不合理医嘱总数的40.75%)。黑色警示医嘱主要问题为药物配伍禁忌(49.56%)和溶剂不适宜(40.91%)。经过临床药师干预,不合理医嘱率呈逐月下降趋势,由2013年1月的0.51%下降至12月的0.06%。结论:利用合理用药监测系统对用药医嘱进行审核,可及时发现存在不合理用药现象的医嘱,并采取适当干预措施,确保临床安全、有效、合理用药。
[Abstract]:Objective: to use the rational drug use monitoring system to realize the whole doctor's order audit, and to provide the reference for the clinical rational use of medicine. Methods: to sort out, summarize and analyze the problem of irrational drug use in all the medical orders in our hospital in 2013. Results: about 1.2 million medical orders were reviewed, and 2888 unreasonable orders were found, accounting for 0.24% of them. 1 711 black warnings (59.25% of the total number of unreasonable doctors' orders); Red warning physician's advice 1 177 (40.7575% of the total number of unreasonable doctors' orders. The main problem of black warning doctor's order is drug compatibility contraindication 49.56) and solvent is not suitable for 40.91%). After intervention by a clinical pharmacist. The rate of unreasonable medical advice decreased monthly from 0.51% on January 2013 to 0.066 on December. Conclusion: the rational drug use monitoring system is used to review the medical orders. We can find out the unreasonable medication in time, and take appropriate intervention measures to ensure clinical safety, effective and rational use of drugs.
【作者单位】：上海长征医院药学部;
【分类号】：R95
【正文快照】： tion in a Chinese adult population:the Shanghai diabetesstudies,a cross-sectional 3-year follow-up study in Shang-hai urban communities[J].Diabetologia,2007,50(2):286.[3]陆祖谦.双胍类降糖药物对2型糖尿病治疗价值的重新认识[J].临床药物治疗杂志,2010,8(4):33.

【参考文献】