利用PASS软件对我院临床用药合理性的分析  

Analysis of the Rationality of Clinical Drug Use with the Use of PASS Software

作　　者：冯娟[1] 蒋昆[2] 朱艳荣[1] 

机构地区：[1]第四军医大学附属西京医院药学部,西安市710032 [2]第四军医大学附属西京医院信息科,西安市710032

出　　处：《中国医院用药评价与分析》2010年第8期743-744,共2页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:通过合理用药监测系统(PASS)对临床用药情况进行统计分析,发现并纠正临床用药方案中存在的不合理因素。方法:采用PASS系统对我院2008年10月-2009年10月的临床医嘱进行审查,对不同类型的不合理用药情况进行归纳分析。结果:在审核的不合理医嘱中,严重警示占9.2%,较严重警示占31.9%,出现频率最高的不合理用药类型为药物相互作用,占不合理用药总数的45.3%。结论:PASS系统的使用需要与临床用药的实际情况相结合,临床药师开展药学监护工作,应争取同临床医师共同审核医嘱,才能有效减少不合理用药和药物不良反应的发生。OBJECTIVE：To analyze statistically the inpatient drug use status in our hospital by using Prescription Automatic Screening System （PASS） so as to detect and correct the irrational factors in clinical drug use.METHODS：The PASS software was employed to review the clinical medical orders in our hospital from October 2008 to October 2009 with different types of irrational drug use analyzed.RESULTS：Among the irrational prescriptions,9.2% were given grave warning signs,31.9% moderately grave warning signs and the most common type of irrational drug use were drug interactions which accounted for 45.3% .CONCLUSION：Clinical actuality should be taken into consideration in the application of PASS system; in the practice of pharmaceutical care,clinical pharmacists should cooperate with clinicians to review medical orders so as to reduce incidences of irrational drug use and adverse drug effects.

关 键 词：合理用药监测系统 临床药师 应用分析 

分 类 号：R969.3[医药卫生—药理学]