某院超说明书用药情况的调查分析

发布时间：2018-03-22 16:02

本文选题：超说明书用药　切入点：药品说明书　出处：《中国医药指南》2016年34期 　论文类型：期刊论文

【摘要】：目的了解某院超说明书用药情况并分析其使用原因,为促进临床合理规范超说明书用药提供依据。方法随机抽取某院2015年门急诊处方共12000张、住院医嘱360份(医嘱数4320条),根据药品说明书内容分别进行统计超说明书用药类型和用药情况。结果本次调查共发现超说明书用药处方374张占抽取处方数的3.12%,超说明书用药医嘱301条占抽取医嘱数的6.97%,整理得到超说明书用药问题23条,超说明书用药主要表现在超适应证给药、改变给药途径给药、超适用人群给药、超配伍禁忌;其中超适应证给药为常见的用药类型,发生率明显高于其他类型(P0.05)。结论医疗机构应进一步加强药物使用管理,规范临床医师的超说明书用药行为,保障患者用药安全有效。
[Abstract]:Objective to understand the situation of drug use in a hospital and analyze the reasons for its use. Methods A total of 12000 prescriptions of outpatient and emergency department in 2015 were randomly selected to provide the basis for promoting clinical rational and standardized drug use. There were 4320 prescriptions in hospital. According to the contents of drug instructions, the drug types and drug usage were statistically analyzed. Results the total number of prescriptions was 3.12% and 3.12% of the total number of prescriptions extracted in this investigation. The number of instructions for drug use is 301, which accounts for 6.97 of the total number of orders extracted, and 23 problems of over-prescribing medicine are obtained by sorting out the instructions. Superscript drug use is mainly manifested in over-indication administration, changing the way of administration, overdose in the population, and supercompatibility contraindication, in which superindications are common drug types. Conclusion Medical institutions should further strengthen the management of drug use, standardize the over-prescriptive drug use behavior of clinicians, and ensure the safety and effectiveness of drug use in patients.
【作者单位】：福建中医药大学附属厦门第三医院药学部;
【分类号】：R95

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