转化糖电解质注射液专项处方点评的标准制定、结果分析及临床改进

发布时间：2018-02-19 19:50

本文关键词： 转化糖电解质注射液专项处方点评合理用药　出处：《中国药学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的开展转化糖电解质注射液专项处方点评,帮助临床合理、规范地使用该药物。方法以循证医学的方法制定点评标准,组织专项处方点评小组,随机抽查我院2016年1月及2016年6月使用转化糖电解质注射液的住院患者病历各327份,进行系统点评。结果 2016年1月不合理病历共87份,不合理率高达26.6%。临床上主要存在适应证不符(23.8%)、超疗程使用(24.8%)、存在临床禁忌(32.7%)、合用药物不合理(17.8%)等不合理使用情况。将此点评结果反馈临床,通过后续的临床宣教和行政干预等手段,转化糖电解质注射液不合理用药现象得到有效控制。在随后的复查中,2016年6月不合理病历下降至39份,不合理率为11.9%,不合理率降低明显。结论转化糖电解质注射液在临床上存在着一定的不合理使用的情况,通过基于循证的专项处方点评,能够有效遏制临床不合理用药的现象,保障患者用药安全。
[Abstract]:Objective to develop a special prescription review for transforming sugar electrolyte injection to help the clinical use of the drug reasonably and normatively. Methods Evidence-based medicine was used to formulate the evaluation standard and organize a special prescription evaluation group. In January 2016 and June 2016, 327 medical records of inpatients who were treated with transforming sugar electrolyte injection in our hospital were randomly selected and reviewed systematically. Results 87 unreasonable medical records were recorded in January 2016. The unreasonable rate is as high as 26.6%. There are mainly unreasonable use conditions in clinic, such as the indication mismatch of 23.8U, the overuse of 24.80.There are clinical taboos of 32.7am, and the combination of drugs is not reasonable, etc. The results of this review are fed back to the clinic. Through subsequent clinical education and administrative intervention, the phenomenon of irrational use of converted sugar and electrolyte injection was effectively controlled. In the subsequent review, the number of irrational medical records dropped to 39 in June 2016. The unreasonable rate was 11.9, and the unreasonable rate was obviously decreased. Conclusion there is some unreasonable use of transforming sugar electrolyte injection in clinic, and the phenomenon of irrational clinical use can be effectively curbed by special prescription evaluation based on evidence. To ensure the safety of drug use by patients.
【作者单位】：浙江大学医学院附属第一医院药学部;
【分类号】：R95

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