我院2013年住院病区医嘱审核情况分析  

Analysis of Inpatient Medical Orders Review in Our Hospital in 2013

作　　者：刘震[1] 姚静亚 陶霞[1] 陈万生[1] 

机构地区：[1]上海长征医院药学部,上海200003

出　　处：《中国药房》2015年第5期599-601,共3页China Pharmacy

摘　　要：目的:利用合理用药监测系统实现全医嘱审核,为临床合理用药提供参考。方法:整理、归纳、分析我院2013年所有住院医嘱中的不合理用药问题,记录不合理医嘱所使用的药物、数量以及警示内容。结果:共审核医嘱约120万条,发现不合理医嘱2 888条,占0.24%。其中,黑色警示医嘱1 711条(占不合理医嘱总数的59.25%);红色警示医嘱1 177条(占不合理医嘱总数的40.75%)。黑色警示医嘱主要问题为药物配伍禁忌(49.56%)和溶剂不适宜(40.91%)。经过临床药师干预,不合理医嘱率呈逐月下降趋势,由2013年1月的0.51%下降至12月的0.06%。结论:利用合理用药监测系统对用药医嘱进行审核,可及时发现存在不合理用药现象的医嘱,并采取适当干预措施,确保临床安全、有效、合理用药。OBJECTIVE： To provide reference for rational drug use in the clinic by using PASS. METHODS： The problems about irrational drug use involved in medical orders were summarized and analyzed, and drugs and their number, and caution contents were all recorded. RESULTS： A total of 1.2 million medical orders were reviewed in 2013, among which there were 2 888 irrational medical orders, accounting for 0.24%; of which, 1 711 cases were most seriously warned with black markers （accounting for 59.25% ）, and 1 177 cases were warned with red markers （accounting for 40.75% ）. The main problems of medical orders with black warning were incompatibility （accounting for 49.56% ） and improper solvent choice （accounting for 40.91% ）. After communication and intervention, the rate of irrational medical orders decreased month by month, decreasing from 0.51% in Jan. 2013 to 0.06% in Dec. 2013. CONCLUSIONS： PASS could help to find irrational drug use in time and promote rational drug use in the clinic.

关 键 词：合理用药监测系统 医嘱审核 合理用药 

分 类 号：R952[医药卫生—药学] R192.8