中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2014年
15期
71-72,73
,共3页
合理用药监测系统%综合干预%门诊处方%合理用药
閤理用藥鑑測繫統%綜閤榦預%門診處方%閤理用藥
합리용약감측계통%종합간예%문진처방%합리용약
prescription automatic screening system%comprehensive intervention%outpatient prescription%rational drug use
目的：运用合理用药监测系统（PASS）对医院门诊处方进行监测分析，运用一系列综合干预措施提高合理用药水平。方法从2013年起，医院临床药师运用技术和行政等综合措施干预医生选药、用药，利用 PASS 分析干预前（2012年）及干预后（2013年）门诊处方28013张和29310张，从药物相互作用、给药途径、药物用法用量及儿童用药等方面对问题医嘱进行分析。结果2012年，门诊不合理用药医嘱为1693条，2013年仅297条，发生率分别为6.04%和1.01%，差异有统计学意义（ P ﹤0.05）。综合干预后，药物相互作用、给药途径、药物用法用量及儿童用药等方面的问题医嘱数量均较干预前显著下降（ P ﹤0.05）。结论 PASS 系统对医院门诊处方中的不合理用药情况能进行有效监测，综合干预措施能显著提高医院临床合理用药水平，值得医院药房推广。
目的：運用閤理用藥鑑測繫統（PASS）對醫院門診處方進行鑑測分析，運用一繫列綜閤榦預措施提高閤理用藥水平。方法從2013年起，醫院臨床藥師運用技術和行政等綜閤措施榦預醫生選藥、用藥，利用 PASS 分析榦預前（2012年）及榦預後（2013年）門診處方28013張和29310張，從藥物相互作用、給藥途徑、藥物用法用量及兒童用藥等方麵對問題醫囑進行分析。結果2012年，門診不閤理用藥醫囑為1693條，2013年僅297條，髮生率分彆為6.04%和1.01%，差異有統計學意義（ P ﹤0.05）。綜閤榦預後，藥物相互作用、給藥途徑、藥物用法用量及兒童用藥等方麵的問題醫囑數量均較榦預前顯著下降（ P ﹤0.05）。結論 PASS 繫統對醫院門診處方中的不閤理用藥情況能進行有效鑑測，綜閤榦預措施能顯著提高醫院臨床閤理用藥水平，值得醫院藥房推廣。
목적：운용합리용약감측계통（PASS）대의원문진처방진행감측분석，운용일계렬종합간예조시제고합리용약수평。방법종2013년기，의원림상약사운용기술화행정등종합조시간예의생선약、용약，이용 PASS 분석간예전（2012년）급간예후（2013년）문진처방28013장화29310장，종약물상호작용、급약도경、약물용법용량급인동용약등방면대문제의촉진행분석。결과2012년，문진불합리용약의촉위1693조，2013년부297조，발생솔분별위6.04%화1.01%，차이유통계학의의（ P ﹤0.05）。종합간예후，약물상호작용、급약도경、약물용법용량급인동용약등방면적문제의촉수량균교간예전현저하강（ P ﹤0.05）。결론 PASS 계통대의원문진처방중적불합리용약정황능진행유효감측，종합간예조시능현저제고의원림상합리용약수평，치득의원약방추엄。
Objective To monitor and analyze the outpatient prescriptions of our hospital by using the prescription automatic screening system(PASS), and to apply a series of comprehensive measures to increase the level of reasonable drug use. Methods The clinical pharmacists in our hospital applied a series of comprehensive intervention measures of technique and administration to perform the in-tervention on the doctors' drug selection and drug use since 2013. PASS was applied to analyze the problematic medical orders in the aspects of the drug interaction, administration route, usage, dosage and child drug use among 28 013 and 29 310 pieces of outpatient prescription before intervention(2012) and after intervention(2013) respectively. Results There were 1 693 irrational medication orders in 2012, while 297 irrational medication orders in 2013, the incidence rates were 6. 04% and 1. 01% respectively, the difference be-tween them had statistical significance( P ﹤ 0. 05) . The number of the problematic medical orders in the aspects mentioned above after the comprehensive intervention was significantly decreased compared with before intervention( P ﹤ 0. 05) . Conclusion PASS can effec-tively monitor the irrational drug use in the outpatient prescriptions and the comprehensive intervention measures can significantly in-crease the level of rational drug use in clinic, which is worthy of being promoted in the hospital pharmacy.
