住院药房口服用药医嘱点评与分析  

Review and Analysis of Oral Medication Orders in Inpatient Pharmacy

作　　者：吴婷婷 姚英 

机构地区：[1]松江区中心医院药剂科,上海201600

出　　处：《中国医院用药评价与分析》2015年第8期1109-1111,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解上海市松江区中心医院(以下简称"我院")住院患者口服用药情况,为临床合理用药提供参考。方法:通过我院信息系统抽取2014年住院患者口服用药长期医嘱707 624份,对医嘱的审核结果及干预情况进行统计分析。结果:707 624份住院患者口服用药医嘱中,不合理医嘱816份,医嘱不合理率为0.12%。干预被采纳医嘱504份,采纳率为61.76%,其中用法、用量不合理(173份,占34.26%),重复给药(144份,占28.52%)及联合用药不合理(187份,37.030%)。结论:药师参与药物治疗过程,对医嘱进行审核干预,有利于提高合理用药水平,保证患者安全、有效、经济用药。OBJECTIVE：To probe into the oral medication of inpatients in the Center Hospital of Shanghai Songjiang Distinct （ hereinafter referred to as ＂our hospital＂） , and to provide reference for clinical rational drug use. METHODS：707624 standing orders of oral medication of inpatients in 2014 were extracted through HIS system in our hospital, the audits results and intervention situation of orders were statistically analyzed. RESULTS： Of the 707 624 orders, 816 orders were unreasonable, accounting for 0. 12%. Interventions were adopted by 504 orders and accounting for 61. 76%. The mainly irrational types were improper drug dosage （ 173 orders, 34. 26%） , repeated administration （ 144 orders, 28. 52%） and unreasonable combination therapy （ 187 orders, 37. 03%） . CONCLUSIONS：Pharmacists＇ participation in the medication therapy and intervention of orders can improve the level of rational drug use and ensure safe,effective and economic drug use for patients.

关 键 词：医嘱审核 合理用药 干预 

分 类 号：R969.3[医药卫生—药理学]