临床药师干预辅助用药使用合理性的效果  

Effect of Clinical Pharmacists Intervention on Rationality of Use of Supplementary Drugs

作　　者：蒋巧俐[1] 罗国庆[1] Jiang Qiaoli;Luo Guoqing(Department of Pharmacy,Zhongnan Hospital of Wuhan University,Wuhan 430071 ,China)

机构地区：[1]武汉大学中南医院药学部,武汉430071

出　　处：《中国药师》2019年第5期879-881,共3页China Pharmacist

摘　　要：目的:分析临床药师合理用药干预前后辅助用药使用的金额及医嘱合理性变化,评价干预效果。方法:利用医院HIS及PASS合理用药系统,对合理用药干预前后出院患者的药品平均费用、辅助用药平均费用、药占比、平均住院日,不同药理类别药物人均使用金额及用药频度(DDDs)、点评中不合理使用频次的变化进行统计分析。结果:干预后患者的药品平均费用、辅助用药平均费用、药占比、平均住院日等指标均有明显下降;辅助用药类型中酶及辅酶、神经保护剂、心肌保护剂类药物的人均使用费用降幅高达50. 0%。干预后各类型不合理医嘱比例均较干预前大幅下降。结论:临床药师对辅助用药临床应用的干预,可以提高药物使用的合理率,降低住院患者药品费用。Objective:To evaluate the intervention effect of clinical pharmacists on supplementary medicines by analyzing the changes of the amount and the rationality of doctor’s advice before and after the intervention.Methods:By using PASS rational drug use system,the average cost of drugs,the average cost of supplementary drugs,the proportion of drugs,the average length of stay,the amount of drugs used per capita with different pharmacological categories,DDDs and the frequency changes of unreasonable use of drugs during the intervention were statistically analyzed before and after the rational drug use intervention.Results:After the intervention,the average cost of the drugs,the average cost of supplementary drugs,the proportion of drugs,and the average length of stay were significantly decreased.The per capita cost of the supplementary drug category such as enzymes,coenzymes,neuroprotective agents and myocardial protective agents decreased by as much as 50.0%.After the intervention,the proportion of unreasonable doctor’s advice was significantly lower than that before the intervention.Conclusion:The intervention of clinical pharmacists with the clinical application of adjuvant drugs can improve the rational rate of drug use and reduce the drug cost of inpatients.

关 键 词：临床药师 辅助用药 干预 效果 合理用药 

分 类 号：R97[医药卫生—药品]