利用PASS系统对我院住院用药医嘱的监测与分析  

Monitoring and analysis on medication orders for inpatients by PASS

作　　者：王秀琴[1] 钱秋玉[1] 佟艳春[1] 沈维勤[1] 

机构地区：[1]北京军区总医院263临床部药械科,北京101149

出　　处：《中国药物应用与监测》2011年第1期52-54,共3页Chinese Journal of Drug Application and Monitoring

摘　　要：目的:了解医院临床用药医嘱中潜在的不合理用药情况。方法:利用合理用药监测系统(PASS)对我院2009年5-11月共3980例住院患者的163 696条用药医嘱进行监测,并对监测结果进行分析。结果:不合理用药医嘱共有11 148条,不合理用药发生率为6.81%。绝对禁止黑灯医嘱179条,主要为药物配伍禁忌(占30.73%)、药物相互作用(占22.35%)、用药剂量不合理(占18.99%)等。结论:PASS系统能有效监测医嘱中的不合理用药情况,应用PASS系统有利于提高临床合理用药水平。Objective：To investigate and analyze the irrational drug use in medical orders of inpatients.Methods：Prescription automatic screening system（PASS） was used for the analysis of 163-696 medical records of 3980 patients hospitalized from May to November in 2009,and the results were analyzed statistically.Results：There were 11-148 medication orders of irrational drug use and the incidence of irrational drug use accouted for 6.81%.A total of 179 forbidden inpatient medical orders were monitored,of which,30.73% involving in drug incompatibility,22.35% involving in drug interactions,and 18.99% involving in irrational dosage.Conclusion：PASS can efficiently monitor the irrational drug use in medical order,hence prevent and reduce adverse drug reactions.Therefore,the PASS is conducive to the rational use of drugs in clinic.

关 键 词：合理用药监测系统 用药医嘱 监测 合理用药 

分 类 号：R969.3[医药卫生—药理学]