PASS系统对用药医嘱的监测与分析  

Prescription automatic screening system in analyzing and monitoring medical orders

作　　者：祁英杰[1] 

机构地区：[1]辽宁省肿瘤医院药学部,沈阳110042

出　　处：《中南药学》2015年第9期989-992,共4页Central South Pharmacy

摘　　要：目的探讨如何利用合理用药监测系统(PASS)了解住院患者的合理用药情况并分析其评价的合理性。方法利用PASS系统对本院2014年住院患者用药医嘱进行监测,收集不合理用药信息,并对监测结果进行统计、分析。结果不合理用药医嘱42 564条,其中禁忌使用医嘱1791条。不合理医嘱主要类型为剂量范围(70.57%)、成分重复(10.83%)、注射液体外配伍(7.79%)、药物相互作用(7.22%)。结论应用PASS系统能有效监测医嘱中的不合理用药情况,有利于提高临床合理用药水平,但PASS系统尚存在局限性,有待进一步完善。Objective To investigate the rationality of drug use in inpatients, and to discuss how to improve rational drug use by using prescription automatic screening system（PASS）. Methods PASS was used to analyze medical records in inpatients in 2014. Irrational drug use information was collected and analyzed. Results There were 42 564 irrational medication orders, and 1791 forbidden inpatient medical orders were monitored. Different types of unreasonable medical orders were involved in drug dosage（70.57%）, repeated components（10.83%）, drug incompatibility（7.79%） and drug interactions（7.22%）. Conclusion PASS can efficiently monitor the irrational drug use in medical orders, to prevent and reduce adverse drug reactions. However, PASS should be further improved due to its limitation of function.

关 键 词：PASS系统 医嘱 监测 合理用药 

分 类 号：R95[医药卫生—药学]