慢性肾脏病患者医嘱点评难点和模式探讨  

Investigation on difficulty and pattern of prescription comments in patients with chronic renal disease

作　　者：韩毅[1] 黄欣[1] 赵霞[1] 李宏建[1] 苏乐群[1] 杨蕊[1] 

机构地区：[1]山东省千佛山医院,山东济南250014

出　　处：《中国医院药学杂志》2015年第6期539-543,共5页Chinese Journal of Hospital Pharmacy

基　　金：临床药师规范化教育平台建设研究(编号:2010RKGA2024);2013年合理用药国际网络中国中心组处方点评监测研究课题

摘　　要：目的:探讨医院慢性肾脏病患者医嘱点评的难点、模式和评价的具体标准,促进《医院处方点评管理规范(试行)》的贯彻实施。方法:在分析慢性肾脏病点评疾病和用药特点及其难点的基础上,对《医院处方点评管理规范(试行)》关于慢性肾脏病用药不适宜处方及超常处方的界定标准、处方专项点评模式进行探索。结果:建立慢性肾脏病医嘱专项点评的模式和慢性肾脏病不适宜处方及超常处方的界定标准。为规范化慢性肾脏病医嘱点评提供了参考。结论:医院慢性肾脏病医嘱合理性评价具体标准及专项点评模式需不断完善统一,以进一步提高慢性肾脏病合理用药水平。OBJECTIVE To investigate the patterns,standards and difficulties of prescription comments in patients with chronic renal disease（CKD）,and promote the implementation of＇hospital prescription comment management practice＇.METHODS Based on analysis of the characters of medication,difficulties of prescription comments,comment standards and patterns were investigated for inappropriate prescription and unusual prescription in CKD.RESULTS A practice standard and a preliminary pattern were provided for checking prescription in CKD.CONCLUSION Prescription comment in CKD inpatient needs further improvement on specified criteria and a unified model,which will be helpful for rational drug use in CKD.

关 键 词：慢性肾脏病 医嘱点评 合理用药 

分 类 号：R969.3[医药卫生—药理学]