基于合理用药软件系统促进抗肿瘤药物合理使用的药学实践  

Pharmacist's practice in promoting rational use of antitumor drugs based on rational drug use software system

作　　者：林薇 黄静[2] 吴伦[2] 余莉[3] 丁静 蔡娟娟[2] 王欣慰[2] 周琼艳 LIN Wei;HUANG Jing;WU Lun;YU Li;DING Jing;CAI Juan-juan;WANG Xin-wei;ZHOU Qiong-yan(Zhejiang Pharmaceutical College,Zhejiang Ningbo 315100,China;Department of Pharmacy,Affiliated Hospital,College of Medicine,Ningbo University,Zhejiang Ningbo 315020,China;Department of Pharmacy,Mingbo Psychiatric Hospital,Zhejiang Ningbo 315032,China;Department of Dermatology,Affiliated Hospital,College of Medicine,Ningbo University,Zhejiang Ningbo 315020,China)

机构地区：[1]浙江医药高等专科学校,浙江宁波315100 [2]宁波大学医学院附属医院药学部,浙江宁波315020 [3]宁波市精神病院药剂科,浙江宁波315032 [4]宁波大学医学院附属医院皮肤科,浙江宁波315020

出　　处：《中国医院药学杂志》2021年第21期2240-2243,共4页Chinese Journal of Hospital Pharmacy

基　　金：浙江省哲学社会科学规划课题(编号:20NDJC221YB);浙江省公益技术研究计划项目(编号:LGD19H110001);宁波市自然科学基金项目(编号:2018A610278);浙江省实验动物科技计划项目(编号:2018C37101)。

摘　　要：目的:构建基于合理用药软件系统的用药管理体系,探讨合理用药软件系统在促进抗肿瘤药物合理用药中的作用。方法:药师依托合理用药软件系统,持续完善抗肿瘤相关药物知识库和运行规则,结合事前干预、事中审方、事后点评为一体的方式,促进抗肿瘤药物合理使用。通过对比分析合理用药软件系统实施前后抗肿瘤药物用药情况,考察其在促进抗肿瘤药物合理使用中的作用。结果:抗肿瘤药物相关医嘱抽样点评合格率由75.42%提升至94.58%,用法用量、配伍、相互作用、重复用药等问题均明显改善。运行稳定后,事前干预和事中审方发现的不合理医嘱数量均有所下降。结论:药师基于合理用药软件系统对抗肿瘤药物进行合理用药管理,提高了管理效率,促进了抗肿瘤药物合理使用。OBJECTIVE To construct a medication management system based upon rational drug use software system and explore its role in promoting rational use of antitumor drugs.METHODS Pharmacists relied on the rational drug use software system to improve the knowledge base of antitumor-related drugs and prescription review rules in conjunctions with prior intervention,mid-event review and post-event comment to promote the rational use of antitumor drugs.By comparing the use of antitumor drugs before and after implementing rational drug use software system,the role of the system in promoting rational use of antitumor drugs was examined.RESULTS The qualified rate of antitumor drug prescriptions at this hospital spiked from 75.42%up to 94.58%.The problems of usage/dosage,compounding,interactions and repeated drug use were significantly resolved.After stable system operation,the number of unreasonable prescriptions detected by both pre-intervention and mid-event review decreased.CONCLUSION The rational drug use software system has improved management efficiency and promoted the rational use of antitumor drugs.

关 键 词：抗肿瘤药物 合理用药软件系统 事前干预 事中审方 事后点评 

分 类 号：R979.1[医药卫生—药品]