某院住院患者用药医嘱全程审核干预模式的实践  

Whole-process Review and Intervention of Inpatient Medical Orders in a Hospital

作　　者：李彩云 张晓兰 江翊国 黄立峰 LI Cai-yun;ZHANG Xiao-lan;JIANG Yi-guo;HUANG Li-feng(The Affiliated Suzhou Science and Technology Town Hospital,Suzhou 215153,China)

机构地区：[1]苏州科技城医院,江苏苏州215153

出　　处：《解放军药学学报》2024年第1期65-67,共3页Pharmaceutical Journal of Chinese People's Liberation Army

摘　　要：目的建立住院医嘱全程审核干预模式,促进临床合理用药。方法探索前置审核+医嘱执行中审核的干预模式,统计分析并评价该模式运行1年的效果。结果2020年12月-2021年12月共审核住院医嘱755104条,成功干预933条不合理医嘱;外科的不合理医嘱发生率较内科高。干预的不合理医嘱中,60.13%为审方药师干预,39.87%为临床药师干预。两类药师干预的不合理医嘱类型各有侧重点,临床药师更能发现并干预深层次的不合理医嘱。结论住院医嘱全程审核干预模式可充分发挥审方药师和临床药师的专业优势,有效干预不合理医嘱,促进临床合理用药。Objective To establish a model for the whole-process review of and intervention in inpatient medical orders and promote rational use of drugs.Methods Ways to intervene in the pre-review and implementation of medical orders were explored.The extent to which this model helped minimize improper medical orders after one year was statistically analyzed and assessed.Results Between December 2020 and December 2021,a total of 755104 inpatient medical orders were reviewed,933 of which were considered inappropriate and subjected to intervention.The rate of inappropriate medical orders in the department of surgery was higher than that in the department of internal medicine.Among these substandard medical orders,60.13%were intervened in by prescription-checking pharmacists,compared with 39.87%by clinical pharmacists.The inappropriate medical orders intervened in by these two types of pharmacists had their own characteristics.Clinical pharmacists were better at finding more underlying problems.Conclusion This model for the whole-process review and intervention of inpatient medical orders can give full play to the strengths of both prescription-checking pharmacists and clinical pharmacists.Irrational medical orders can be brought under effective control and rational drug use can be promoted.

关 键 词：药师 医嘱全程审核干预 合理用药 

分 类 号：R969.3[医药卫生—药理学]