审方药师医嘱审核干预对我院胃肠肿瘤外科不合理用药的影响分析  

Effect Analysisof Prescription Pharmacists Checking and Intervening on Irrational Medicationsin Gastrointestinal Tumor Surgery of Our Hospital

作　　者：李桂荣[1] 裴祺[2] 樊萍[1] 杨东亮[1] 丁仰宏[1] 

机构地区：[1]新疆医科大学第一附属医院药学部,乌鲁木齐830054 [2]新疆医科大学第一附属医院胃肠肿瘤外科,乌鲁木齐830054

出　　处：《新疆医学》2016年第5期553-556,共4页Xinjiang Medical Journal

基　　金：新疆医科大学人文社科基金项目-改革与发展专项(基金编号:2014XYFG36)

摘　　要：目的考察审方药师医嘱审核干预对我院胃肠肿瘤外科不合理用药的影响。方法抽取我院胃肠肿瘤外科2013年7-12月的出院病历,每月随机抽取20份,共计120份出院病历做为对照组,并抽取2014年1-6月的出院病历,每月随机抽取20份,共计120份出院病历做为试验组,审方药师依据药品说明书等资料对住院医嘱进行审核和干预,对干预前、后的不合理用药情况进行分类统计和分析。结果住院医嘱中不合理用药类型主要为给药剂量超标、配伍禁忌、溶媒种类不当;溶媒体积不当;给药方式不当;给药频次不当;重复给药。结论审方药师通过住院医嘱进行审核,干预不合理医嘱的执行,有利于促进临床合理用药。Objective To investigate the effect of prescription pharmacists checking and intervening on irrational medication in gastrointestinal tumor surgery department of our hospital. Methods 20 cases was randomly extracted from hospital medical records every month from July to December of 2013 as control group and 20 cases was randomly extracted from hospital medical records every month from January to June of 2014 as experimental group. Prescription pharmacists according to instructions to review and intervention, classified and analyzed the situation of irrational medication of before and after. Results The types of unreasonable drug medication mainly are improper choice of drug dosage, incompatibility of drugs, irrational drug solvent, irrational mode of drug use, the unknown usage of drug, repeated drug delivery. Conclusion Through the assessment of Prescription pharmacists, to intervene irrational medical order can improve the usage of clinic drugs.

关 键 词：医嘱审核干预 胃肠肿瘤外科 不合理用药 

分 类 号：R926[医药卫生—药学]