摘要
目的:分析第四军医大学西京医院住院医嘱不合理用药情况,提高临床用药水平。方法:随机抽取2010年1—10月每月医嘱约150份(占当月医嘱总数的2%),共计1 519份,分析医嘱中不合理用药情况,统计不合理用药医嘱比例。结果:不合理用药医嘱168份,占所抽查医嘱的11.05%。其中用法用量不准确73份,占不合理医嘱的43.45%;超剂量使用药物69份,占不合理医嘱的41.07%;存在配伍禁忌18份,占不合理医嘱的10.72%;违反药品禁忌证4份,占不合理医嘱的2.38%;特殊人群用药不合理4份,占不合理医嘱的2.38%。结论:住院医嘱基本合理,但仍存在一定问题,应引起临床医师重视,同时医院需加强医嘱点评的力度,进一步提高临床合理用药水平。
OBJECTIVE： To improve the clinical drug use level in Xijing Hospital of the Forth Military Medical University by analyzing the inpatient irrational drug use.METHODS：A total of 1 519 prescriptions（about 150 selected randomly every month from Jan to Oct.in 2010） were analyzed statistically in respect of the irrational drug use and the proportion of the irrational cases.RESULTS：Of the 1 519 prescriptions reviewed,168（11.05%） were irrational ones,with inaccurate dosage and administration in 73（43.45%）,overdosing in 69（41.07%）,incompatibility in 18（10.72%）,and irrational drug use for special groups in 4（2.38%）.CONCLUSION：The inpatient prescriptions in our hospital were rational on the whole.However,there are some problems which need clinician＇s great attention.Meanwhile,comment on prescriptions should be strengthened in hospital to improve clinical rational drug use level.
出处
《中国医院用药评价与分析》
2011年第10期954-956,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
住院医嘱
不合理用药
医嘱分析
对策探讨
Medical order
Irrational drug use
Analysis of prescription
Countermeasure
作者简介
药师，硕士。研究方向：临床药学。E-mail：changyingily@sina．com
通讯作者：主任药师，硕士。研究方向：临床药理。E-mail：adwen@fmmu．edu．cn
