984例住院不合理用药医嘱帕累托图分析  

Pareto chart analysis of irrational drug use for 984 inpatients

作　　者：吴丽芳[1] 卓双塔[1] 林涛[1] 周奇奇[1] 陈丽云[1] 

机构地区：[1]厦门市第二医院药学部,福建厦门361021

出　　处：《中国医院药学杂志》2016年第9期737-740,共4页Chinese Journal of Hospital Pharmacy

基　　金：福建省卫生厅中医药科研课题(编号:WST201223)

摘　　要：目的:分析某院不合理用药医嘱的情况及原因,通过持续整改提升合理用药质量。方法:通过医院"病案管理系统"每月(2013-2014年)按科室分布随机抽取归档的100本住院病历进行合理用药检查,同时按不合理用药类型、药物类别分别进行帕累托图分析。结果:统计不合理用药医嘱984例,其中2013年占616例,2014年占368例;8种不合理用药中,构成主要问题类型的分别为适应证不适宜(31.24%)、用法用量不适宜(28.41%)、遴选药品不适宜(19.28%)。在12类药物中5类药物构成主要因素。结论:临床药师根据不合理用药具体情况有针对性地进行干预和药学服务,促进合理用药质量持续提升。OBJECTIVE To analyze reasons of irrational drug use in inpatients,improve level of rational drug use.METHODS A total of 2 400 copies of medical records were randomly selected from 2013 to 2014,and pareto chart analysis was performed by investigating types of irrational drug use and drug categories.RESULTS A total of 984 cases of irrational drug use were intervened by clinical pharmacists,616 cases in 2013 and 368cases in 2014.Top 3irrational drug uses were inappropriate indications（31.24%）,inappropriate dosage（28.41%）and inappropriate drugs（19.28%）.Of 12 categories of drugs,5were main drugs with irrational use.CONCLUSION Clinical pharmacists should provide effective intervention and pharmaceutical care aimed at type of irrational drug use to improve level of rational drug use.

关 键 词：不合理用药 帕累托图 分析 整改 

分 类 号：R969[医药卫生—药理学]