PASS系统在我院临床医嘱审查中的应用

Application of Prescription Automatic Screening System in Clinical Medical Order Examination in Our Hospital

目的：探讨临床合理用药监测软件系统（PASS）在医院一临床医嘱审查中的应用。方法：统计分析我院2005年4月～2006年4月经PASS系统审查的医嘱警示级别、类型及医嘱修改率，并判定PASS系统审查警告与临床用药的相符性。结果：共监测医嘱10982160条，其中黑色警示11146条，修改2861条（25．67％）；红色警示51504条，修改10357条（20．0％）；黄色警示339449条，修改66022条（19．45％），在PASS系统监测过程中，出现了可行性临床医嘱与PASS系统警示不相符的情况。结论：PASS系统审查医嘱方便、快捷，提高了一临床合理用药水平，但PASS系统功能还需不断更新和优化。

OBJECTIVE： To discuss the application of Prescription Automatic Screening System （PASS） in the examination of clinical medical orders, METHODS： The level and type of caution and the modification rate of medical orders in our hospital between April 2005 and April 2006 were analysed statistically, and the conformity between PASS cautions of medical orders and clinical medications was evaluated, RESULTS： A total of 10 982 160 medical orders were monitored by PASS, of which, 11 146 were with black cautions and in which 2 861（25,67% ） were modified, 51 504 were with red cautions and in which 10 357 （20.0%） were modified, 339 449 were with yellow ones and in which 66 022 （19.45%） were modified, In PASS monitor process, inconformity between feasible clinical medical orders and cautions of PASS was noted in a few cases. CONCLUSION： The examination of medical orders using PASS is convenient and rapid and the PASS can help improve clinical rational drug use level, however, its function of remains to be updated and optimized.