利用PASS系统监测医嘱用药  

Monitoring of Medical Order of Drug Use by PASS

作　　者：吕伟伟[1] 董玉波[1] 孙成春[1] 孙军[1] 

机构地区：[1]济南军区总医院药学部,济南市250031

出　　处：《中国药房》2005年第22期1708-1709,共2页China Pharmacy

摘　　要：目的:推荐合理用药监测系统(PASS)用于临床,提高合理用药水平。方法:随机选取我院1 200例住院病例,利用PASS系统对96 800条用药医嘱进行用药监测,并对监测结果进行统计、分析。结果:不合理用药发生率为2.28%,其中药物不良相互作用占88.46%,配伍禁忌占11.54%。结论:PASS系统可有效地监测医嘱中的不合理用药,从而预防和减少药物不良事件的发生,值得临床推广应用。PASS系统尚存局限性,有待进一步完善。OBJECTIVE： To recommend a monitoring system, Prescription Automatic Screening System （PASS） for rational drug use in clinic in order to improve the rationality of drug use. METHODS： 1 200 hospitalization case files were randomly selected, 96 800 medical orders of medications were monitored by PASS, and the results were analyzed statistically. RESULTS： The total rate of irrational drug use was 2.28%, among which the drug interaction counted for 88.46% and drug incompatibility 11.54%. CONCLUSION： PASS can efficiently monitor the irrational drug use in medical order, hence prevent and reduce adverse drug reactions, therefore it should be widely used in clinic. However, PASS has some limits and needs further improvement.

关 键 词：PASS系统 医嘱 监测 合理用药 

分 类 号：R952[医药卫生—药学]