利用PASS系统分析修水县中医院的用药合理性  

Using PASS to analyze the rationality of medication in Xiushui Hospital of Traditional Chinese Medicine

作　　者：陈瑶 樊江虹 曾威 Chen Yao;Fan Jiang-hong;Zeng Wei(Xiushui Hospital of Traditional Chinese Medicine,Jiujiang 332400,Jiangxi,China)

机构地区：[1]修水县中医院药剂科,江西九江332400

出　　处：《四川生理科学杂志》2024年第12期2620-2623,2775,共5页

基　　金：九江市科技计划项目(编号:S2023ZDYFN469)。

摘　　要：目的:观察PASS系统对修水县中医院用药合理性的分析结果。方法:选取2018-2023年修水县中医院西药处方与中药处方各1500张、住院医嘱、含抗生素使用医嘱各300份,比较各年份西药与中药用药不合理、住院病人医嘱用药不合理及抗生素用药不合理情况。结果:2018-2023年间后期西药用药不合理情况总体低于前期,在2021-2022年度有反复现象,总体呈降低趋势;前期中药不合理情况变化不显著,中期升高,在2020-2022两年间存在反复现象,2023年急剧降低,总体呈先高后停滞最后下降趋势;住院医嘱不合理用药的总问题数在2020-2022年有反复现象,2023年急剧降低,总体呈下降趋势;住院医嘱抗生素不合理用药情况在2021-2022年有反复现象,2023年急剧降低,总体呈下降趋势。结论:PASS能有效提高合理用药,且基于PASS系统对修水县中医院用药合理性的干预效果显著。Objective:To observe the analysis result of Prescription Automatic Screening System(PASS)on the rationality of medication in Xiushui Hospital of Traditional Chinese Medicine.Methods:1,500 western medicine prescriptions,1,500 traditional Chinese medicine prescriptions,300 inpatient prescriptions,and 300 antibiotic-containing prescriptions were collected from Xiushui Hospital of Traditional Chinese Medicine from 2018 to 2023.The irrational use of western medicine and traditional Chinese medicine,irrational medication of inpatient prescriptions,and irrational use of antibiotics in different years were compared.Results:The irrational use of western medicine was less common in the later stage than in the earlier stage from 2018 to 2023,and there was recurrence from 2021 to 2022,showing an overall decreasing trend.There was no significant change in irrational use of traditional Chinese medicine in the earlier stage,but the phenomenon increased in the middle stage.There was recurring phenomenon between 2020 and 2022,and sharp decrease in 2023,showing an overall trend of first increasing,then stagnating,and finally decreasing.The total number of problems in irrational medication of inpatient prescriptions showed a recurring trend from 2020 to 2022,with a sharp decrease in 2023.Overall,it showed a decreasing trend.The irrational use of antibiotics in inpatient prescriptions showed a recurring trend from 2021 to 2022,with a sharp decrease in 2023.Overall,it showed a decreasing trend.Conclusion:PASS can effectively improve rational drug use,and the intervention effect of PASS on the rationality of medication in Xiushui Hospital of Traditional Chinese Medicine is significant.

关 键 词：PASS系统 用药合理性 干预效果 处方 医嘱 

分 类 号：R197.4[医药卫生—卫生事业管理] R969.3[医药卫生—公共卫生与预防医学]