今日药学

2017, v.27(04) 271-273

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临床药师参与辅助用药的医嘱审核及干预的效果分析
Participation of Clinical Pharmacists in Medical Order Check and Intervention of Adjuvant Medication

曹媛;邓蓉蓉;孙萍萍;
CAO Yuan;DENG Rongrong;SUN pingping;Pharmacy Departnent of The First Affiliated Hospital,Sun Yat-Sen University;

摘要(Abstract):

目的促进辅助治疗药物的合理使用。方法分析我院2015年辅助治疗药物专项点评中发现的主要问题,并评价干预后的效果。结果最常见不合理使用的药物分别为香菇多糖注射液(100.00%)、脱氧核苷酸注射液(67.50%)和小牛脾提取物注射液(60.00%);1 200份医嘱主要的不合理问题是用法用量不适宜、给药途径不适宜、适应证不适宜和重复给药;临床药师通过辅助用药点评、行政管理、信息手段等进行综合干预,每季度的辅助用药不合理率、用量前50名和前100名(按金额)药品中辅助用药的数目均呈下降趋势。结论临床药师通过干预辅助用药的医嘱审核,能提高辅助用药的安全性,降低不合理使用率。辅助用药的合理使用需要临床药师、行政管理部门和临床医师共同努力。
OBJECTIVE To promote the rational use of the adjuvant medicine. METHODS Main problems of special evaluation of the adjuvant medication in our hospital in 2015 were analyzed respectively. The effects of intervention were evaluated. RESULTS The drug which have many problems in medical order checking were Lentinan injection( 100. 00%),Sodium deoxyribonucleotide injection( 67. 50%) and Calf spleen extract injection( 60. 00%). Main problems include unsuitable dosage,unsuitable route of administration,unclear indication and repeated administration. Through comments on medical order by clinical pharmacist,administrative intervention and information intervention,the ratio of unreasonable medical order and the numbers of adjuvant medication in top 50 and100 showed a downward trend. CONCLUSION Clinical pharmacists can improve the safety and reduce the unrational use of adjuvant drug through comments on medical order. The rationality of adjuvant drug use is needed to work together by clinical pharmacists,administrative department and clinical doctors.

关键词(KeyWords): 辅助用药;临床药师;干预
adjuvant medicine;clinical pharmacists;intervention

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作者(Author): 曹媛;邓蓉蓉;孙萍萍;
CAO Yuan;DENG Rongrong;SUN pingping;Pharmacy Departnent of The First Affiliated Hospital,Sun Yat-Sen University;

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