重点监控药品不合理用药医嘱帕累托图分析  

Analysis of the irrational use of key monitoring drugs though Pareto Chart

作　　者：刘晶[1] 黄文娟[1] 张彦[1] 范芳芳[1] 赵生俊[1] LIU Jing;HUANG Wen-juan;ZHANG Yan;FAN Fang-fang;ZHAO Sheng-jun(Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University,Urumqi,830000,China)

机构地区：[1]新疆医科大学附属中医医院,乌鲁木齐830000

出　　处：《新疆医学》2021年第5期562-566,共5页Xinjiang Medical Journal

摘　　要：目的分析某院住院患者中重点监控药品不合理用药医嘱帕累托图,为进一步控制合理使用重点监控药品提供依据和参考。方法通过住院系统电子病历平台,选取2019年1月-12月出院患者中使用重点监控药品的相关病历,用帕累托图法分析不合理用药医嘱的主要因素、次要因素及一般因素。结果通过对720份病历分析发现7种不合理用药类型,主要因素有药物用法用量不适宜,所用药物病程中未记录;次要因素为适应症不适宜,药品剂型或给药途径不适宜;一般因素有联合用药不适宜或有不良反应相互作用的,遴选药品不适宜,重复用药。结论医院依据不合理用药类型及各种因素加强对重点监控药品合理用药的信息化实施监测并进行干预,深化重点监控药品医嘱的专项点评,提高重点监控药品的合理使用水平。Objective To analyze of the irrational use of key monitoring drugs through Pareto chart among inpatients at a certain hospital, and to provide basis and reference for further control of the irrational use of key controlled drugs. Methods Through the electronic medical record platform of inpatient system, the main factors, secondary factors and general factors of irrational drug use were analyzed through the Pareto chart method. Results In total, 7 types of irrational drug use were found from 720 medical records. The main factors included unsuitable usage and unrecorded drug use. The secondary factors were inappropriate indications or improper dosage form.The general factors included improper drug combination, drug interaction, improper kinds of drugs and repeated drug use. Conclusion Based on the types of irrational drug use and its factors, hospital should strengthen the monitoring and intervention of the informationization of the key monitoring drugs for rational drug use, and deepen the special comments on prescription, and finally improve the level of rational use of key monitoring drugs.

关 键 词：重点监控药品 医嘱点评 合理用药 帕累托图 

分 类 号：R969.3[医药卫生—药理学]