我院2199条不合理用药医嘱分析  

Analysis of 2199 Irrational Prescriptions in Our Hospital

作　　者：陈晓兰[1] 陈维中[1] 朱建喜[1] 陈建清[1] 蔡靖斌 林梅英[1] 

机构地区：[1]南京军区福州总医院第一附属医院,福建莆田351100

出　　处：《中国药房》2015年第26期3640-3642,共3页China Pharmacy

摘　　要：目的:为促进临床科室提高合理用药水平提供参考。方法:随机抽取我院2013年6-12月骨科和烧伤科住院医嘱,每月抽取量约占科室当月医嘱总数的2%,其中骨科共4 921条,烧伤科共1 391条,根据《中国药典》、《新编药物学》、药品说明书和相关参考文献等对不合理用药医嘱进行统计分析。结果:骨科不合理用药医嘱1 821条,占37.00%;烧伤科不合理用药医嘱378条,占27.17%。不合理情况主要表现为配伍不当、给药途径不当、老年人禁慎用、儿童禁慎用、重复用药、联合用药不当等。结论:加强医嘱审核,建立健全临床医护人员培训机制,建立并共享医药知识信息平台等,是提高合理用药水平的有效途径。OBJECTIVE：To provide the clinical departments with a reference for promoting rational drug use. METHODS：The inpatient prescriptions given by orthopaedics and burn departments from Jun. to Dec. 2013 were selected randomly. The number of the selected prescriptions by each department accounted for 2% of the total prescriptions given by the corresponding department in that month,including 4 921 cases by orthopaedics department and 1 391 cases by burn department. Statistical analysis of irrational prescriptions was made according to Chinese Pharmacopoeia,New Materia Medica,the package insert,and other relevant references. RESULTS：1 821 prescriptions given by orthopaedics department and 378 by burn department were found to be irrational,accounting for 37.00% and 27.17% respectively. The reasons of irrationality mainly included improper compatibility,improper route of administration,contraindication in and use with caution by the elderly and children,repeated drug use,improper drug combination etc. CONCLUSIONS： The system of prescription review should be strengthened,and clinical staff training system and pharmaceatical knowledge information platform are established to promote rational use of drugs.

关 键 词：医嘱 不合理用药 分析 

分 类 号：R969.3[医药卫生—药理学] R982[医药卫生—药学]