不合理用药分级标准在临床药学工作中的应用

Application of Irrational Medication Classification Criteria in Clinical Pharmacy

目的:评价临床药师在临床药物治疗过程中对不合理用药的干预作用。方法:对我院2009年2～4月334份内、外科病历中每组用药医嘱进行分析,采用不合理用药分级标准对不合理用药医嘱的严重性和类别进行分级评价。结果:334份病历中,共有1781组用药医嘱,外科419组,不合理用药医嘱有119组,不合理用药比例平均为28.4%;内科1362组,不合理用药医嘱有272组,不合理用药比例平均为20.0%。结论:我院不合理用药情况较严重,临床药师参与指导合理用药具有重要意义。采用不合理用药分级标准可评价不合理用药的严重程度或偏离规范治疗的程度,内容明确,可操作性强,可作为量化临床药师各项活动和考评临床药学服务效果的一种方法和手段。

OBJECTIVE： To evaluate the role of clinical pharmacists in intervening irrational medication during the clinical therapy process. METHODS ： 334 pieces of medication orders in medicine and surgery medical records from Feb. to Apt 2009 were analyzed. The severity and variety of irrational medication orders were evaluated with irrational medication classification criteria. RESULTS： 334 copies of medical records included 1 781 pieces of medication orders. 419 pieces of surgery medication orders contained 119 copies of irrational ones and the mean proportion of irrational drug use was 28.4% vs. 272 copies of the irrational ones and 20.0% of proportion for 1 362 copies of medicine medication orders. CONCLUSION： The status quo of irrational medication in our hospital is severe. Clinical pharmacists＇ intervention on clinical rational medication is of great importance. The severity of irra- tional medication and the extent of deviating from standard treatment can be evaluated by the irrational medication classification criteria with clear content and practical property, which can be a way for evaluating clinical pharmacists＇ behavior and the efficacy of clinical pharmacy care.