利用PASS对我院住院用药医嘱的监测评价  

Monitoring and Analysis on Medication Orders for Inpatients by Presription Automatic Screeing System

作　　者：张小莉[1] 张兰华[1] 

机构地区：[1]解放军261医院药剂科,北京100094

出　　处：《解放军医药杂志》2012年第6期36-38,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的了解我院住院用药医嘱中的不合理用药情况。方法利用合理用药监测系统(presription auto-matic screeing system,PASS)对我院2010年1—12月共8094例住院患者的1 470 424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38 479条,不合理用药发生率为2.62%。黑色警示灯用药医嘱860条,主要为注射液体外配伍禁忌(63.72%)、药物相互作用(24.30%)、超疗程(5.12%)、超过单次用药量(4.53%)、未成年人及儿童警告(2.33%)。结论 PASS能有效监测住院用药医嘱中的不合理用药情况,有利于提高临床合理用药水平。Objective To investigate and analyze the irrational drug use in inpatients with medical prescription. Methods Prescription automatic sereeing system （PASS） was used for the analysis of 1,470,424 mdeical records of 8094 patients hospitalized from January to December in 2010, and the results were analyzed statistically. Results There were 38, 479 medication prescriptions of irrational drug use, which accouted for 2.62%. A total of 860 forbidden inpa- tient medical prescription were monitored; 63.72% involved in drug incompatibility, 24.30% involved in drug interac- tions, 5.12% involved in super treatment, 4.53% involved in more than a single dose, and 2.33% involved in child warning. Conclusion PASS can efficiently monitor the irrational drug use in medical prescription, hence reducing or preventing adverse drug reactions. PASS is beneficial to the rational use of drugs in the clinic.

关 键 词：药物监测 住院 药物利用评审 

分 类 号：R969.31[医药卫生—药理学]