药学干预对规范医院临床科室麻醉药品管理的效果  

Effect of Pharmaceutical Intervention on Standardizing Narcotic Drug Management in Clinical Departments of Hospitals

作　　者：高平 徐国忠[1] GAO Ping;XU Guozhong(Haimen Third People's Hospital,Haimen,Jiangsu 226151,China)

机构地区：[1]江苏省海门市第三人民医院,江苏海门226151

出　　处：《大医生》2019年第17期137-138,148,共3页Doctor

摘　　要：目的探讨医院临床科室麻醉药品管理工作中药学干预的价值,旨在促进本院临床麻醉药品的合理用药水平的提高。方法选取2017年1月至2018年12月江苏省海门市第三人民医院临床科室麻醉药品管理情况记录作为研究数据来源,其中2017年1月至12月未采取药学干预,2018年1月至12月开展药学干预。比较干预前后两组麻醉药品登记手册填写情况以及麻醉药品处方不合格情况、使用频率、用药频度。结果干预后签名工作落实不当为0.30%,代办人身份证号未有效填写发生率为0.40%,明显低于干预前的2.60%与3.00%,各项指标差异有非常显著的统计学意义(P<0.001)。干预后药品名称不全、缺少规格、缺少剂型、用法用量标注不明、数字随意涂改等不合格处方占比明显低于干预前,差异有非常显著的统计学意义(P<0.001)。干预前,DDDS排名靠前药品为磷酸可待因片(30 mg);干预后,DDDS排名靠前药品为盐酸羟考酮缓释片(10 mg)。结论药学干预可以规范医院临床科室麻醉药品管理,提高用药安全性。Objective To explore the value of traditional Chinese medicine intervention in the management of narcotic drugs in clinical departments of hospitals in order to promote the improvement of rational drug use in our hospital.Methods Records of narcotic drug management in clinical departments of Haimen Third People's Hospital from January 2017 to December 2018 were selected as data sources.Pharmaceutical intervention was not conducted from January to December 2017,but from January to December 2018.Compare the filling out of the Registration Manual of narcotic drugs,the unqualified prescription of narcotic drugs,the frequency of use and the frequency of drug use before and after intervention.Results The improper implementation of signature after intervention was 0.30%,and the rate of ineffective filling in the ID card number of agent was 0.40%,which was significantly lower than that of 2.6%and 3.0%before intervention,with significant differences among the indicators(P<0.001).The proportion of unqualified prescriptions such as incomplete drug names,lack of specifications,lack of dosage forms,unclear usage and dosage labeling,random number alteration after intervention was significantly lower than that before intervention(P<0.001).Before intervention,codeine phosphate tablets(30 mg)ranked the top drug in DDDS ranking,after intervention,oxycodone hydrochloride sustained-release tablets(10 mg)ranked the top drug in DDDS ranking.Conclusion Pharmaceutical intervention can standardize the management of narcotic drugs in clinical departments of hospitals and improve the safety of drug use.

关 键 词：药学干预 临床科室 麻醉药品 药品管理 合理用药 

分 类 号：R95[医药卫生—药学]