PASS系统对我院临床合理用药情况的监测与分析

PASS System in the Monitoring and Analysis of Clinical Rational Drug Use in Our Hospital

目的:探讨临床合理用药监测系统(PASS)对我院合理用药的监测情况。方法:利用PASS系统对我院2006年8月7日～11月6日的44万多条用药医嘱进行监测,并通过Excel进行分类统计总结。结果:其中黑灯628次,修改494次;红灯16134次,修改7740次;橙灯122926次,修改57867次。本次调查中有数种药物反复出现不合理应用现象,如维生素C、苯巴比妥、阿托品等。结论:PASS系统运行以来,不合理用药的现象大幅度减少,但部分软件问题还需进一步完善。

OBJECTIVE： To discuss the application of PASS system in the monitoring of rational clinical drug use in our hospital. METHODS： PASS was used to monitor a total of 440 000 medication orders from Aug. 7 to Nov. 6 in 2006 in our hospital and the monitoring data were analyzed statistically by means of Excel. RESULTS： The black light flashed 628 times, and revision was done for 494 times; the red light flashed 16 134 times, and revision was done for 7 740 times; the orange light flashed 122 926 times, and revision was done for 57 867 times. In this study, irrational use phenomena occurred repeatedly in several kinds of drugs such as vitamin C, phenobarbital, atropine etc. CONCLUSION： PASS has greatly contributed to the reduction of occurrence of irrational use of drugs ever since its application, but some problems related to software remain to be improved further.