CAJ | 학술논문

目的：对肺部肿瘤科医嘱进行点评，规范医师处方行为，促进合理用药，确保临床用药安全、有效、经济。方法：收集2013年2-10月每月使用5-HT3受体拮抗剂的住院患者医嘱，对其合理性使用进行点评与分析。结果：2026份病历中有401份存在不合理用药现象，主要包括药物选择不适宜（0.94%）、用法与用量不合理（2.07%）、联合用药不恰当（14.66%）、疗程选择不规范（1.33%）及违反药物经济学原则（0.79%）。通过临床药师的实时干预以及医疗质量考评相结合的措施，不合理医嘱率由最初的35.44%下降至3.85%，并呈逐月下降趋势。结论：通过对病区医嘱的点评工作，提高了临床的合理用药水平，确保患者用药安全。
목적：대폐부종류과의촉진행점평，규범의사처방행위，촉진합리용약，학보림상용약안전、유효、경제。방법：수집2013년2-10월매월사용5-HT3수체길항제적주원환자의촉，대기합이성사용진행점평여분석。결과：2026빈병력중유401빈존재불합리용약현상，주요포괄약물선택불괄의（0.94%）、용법여용량불합리（2.07%）、연합용약불흡당（14.66%）、료정선택불규범（1.33%）급위반약물경제학원칙（0.79%）。통과림상약사적실시간예이급의료질량고평상결합적조시，불합리의촉솔유최초적35.44%하강지3.85%，병정축월하강추세。결론：통과대병구의촉적점평공작，제고료림상적합리용약수평，학보환자용약안전。
Objective:To review prescriptions in department of lung oncology for normalizing the prescribing behavior of physicians and promoting the rational use of clinical medicine, so as to ensure the safe, economical and effective drug use. Methods:The hospitalized prescriptions referred to the 5-HT3 receptor antagonists were collected monthly from February to October in 2013, and the rationality of those prescriptions were evaluated and analyzed. Results:There were 401 inappropriate prescriptions in 2026 cases of medical records. The main problems of irrational use of drugs included irrational drug selection, which accounted for 0.94%of all prescriptions colleceted, irrational dosage and administration of the medicine (accounting for 2.07%), irrational combination of drug therapy (accounting for 14.66%), irrational course of the treatment (accounting for 1.33%) and violation of the principles of pharmacoeconomics (accounting for 0.79%). Through clinical pharmacist's real-time intervention and medical quality evaluation, rate of the unreasonable prescriptions decreased from 35.44%in February 2013 to 3.85%in October 2013, which showed a downward trend month by month. Conclusion:Through comment on hospitalized prescriptions, the level of rational drug use can be improved and security of medication administration can be ensured.