某院2013年不合理用药医嘱的点评分析  

Comment and Analysis of Irrational Medication Orders in Inpatients in Our Hospital in 2013

作　　者：刘小芹 黄荣海 

机构地区：[1]中山市南朗医院,广东中山528451

出　　处：《中国医药指南》2015年第22期18-19,共2页Guide of China Medicine

摘　　要：目的调查医嘱中存在的不合理用药问题,指导临床合理用药。方法抽取2013年1月至2013年12月出院病历600份,对其中不合理用药医嘱进行统计分类。参考药品说明书、《临床用药须知》、《新编药物学》、《临床静脉用药调配与使用指南》及其他文献等,对每一类不合理用药医嘱进行分析。结果不合理用药医嘱317条,占用药医嘱总条目数(22200)的1.43%。主要包括抗菌药物使用不规范、适应证不适宜、用法与用量不适宜、超说明书用药、溶媒选择不合理、联合用药不适宜等。结论医院应重视医嘱点评工作,提高合理用药水平,保障患者用药安全。Objective To investigate the problems of irrational use of drugs in medical orders in order to direct the rational use of drugs. Methods Six hundred medical records of discharged inpatient were selected in our hospital from January to December 2013 and statistically classified on the irrational medication orders, and the reasons of each category of them were analyzed according to the description of the medicines, ＂Clinical Guide＂, ＂New Pharmacology＂, ＂Clinical Intravenous Drug Deployment and User Guide＂ and other literatures. Results There are 317 unreasonable doctor＇s orders with failure rate of 1.43% （the total number is 22200）, which mainly included antimierobial drug use is not standard, indications are not appropriate, irrational usage and dosage of drug, drug use beyond the scope of package inserts, improper solvent selection, unreasonable combined use, etc. Conclusion Hospital should pay great attention to the comment work on medication orders to increasb the level of rational drug use and ensure the medication safety of patients.

关 键 词：合理用药 医嘱 分析 

分 类 号：R969.3[医药卫生—药理学]