摘要
目的:了解我院2010年住院患者的合理用药情况,探讨如何利用合理用药监测系统(PASS)提高合理用药水平。方法:利用PASS对我院2010年15 966例住院患者的1 184 997条用药医嘱进行监测,以黑色警示医嘱为依据,收集不合理用药信息,并对监测结果进行统计、分析。结果:不合理用药医嘱50 261条,发生率为4.24%。绝对禁止黑色医嘱5441条,主要为药物相互作用(66.54%)、注射液体外配伍(17.86%)、用法用量(15.46%)、儿童警告(1.14%)。结论:应用PASS系统能有效监测医嘱中的不合理用药情况,有利于提高临床合理用药水平,但PASS系统尚存在局限性,有待进一步完善。
Objective： To investigate the rationality of drug use in inpatients in 2010, and to discuss how to improve rational drug use level by using prescription automatic screening system （PASS）. Methods： PASS was used for the analysis of 1 184 997 medical records in 15 966 inpatients in 2010. The irrational drug use information was collected with black warning medical orders, and the monitoring results were analyzed statistically. Results： There were 50 261 irrational medication orders and the incidence of irrational drug use accounted for 4.24%. A total of 5441 forbidden inpatient medical orders were monitored, involving in drug interactions （66.54%）, drug incompatibility （17.86%）, drug dosage （15.46%）, and child waming （1.14%）. Conclusion： PASS can efficiently monitor the irrational drug use in medical order, hence prevent and reduce adverse drug reactions. However, PASS should be further improved for the limitation of the function.
出处
《中国药物应用与监测》
CAS
2012年第2期112-114,118,共4页
Chinese Journal of Drug Application and Monitoring
关键词
PASS系统
医嘱
监测
合理用药
PASS
Medication order
Monitoring
Rational drug use
