我院五年临床合理用药监测分析

Five-year monitoring of clinical rational drug use in our hospital

目的评价我院住院患者用药情况,总结PASS系统存在的问题并提出相应的建议。方法利用嵌套了PASS的"军卫1号"医院信息系统,对我院住院患者自2005年1月1日至2009年12月31日间的用药情况,进行实时监测和年度统计监测,以分析我院临床合理用药情况。结果问题医嘱修改率逐年提高,由2005年的34.30%提高到2009年的75.19%,总修改率为61.10%;显色警示率逐年下降,由2005年的21.95%下降为2009年的3.53%,总警示率为11.76%;不合理用药发生率也逐年下降,由2005年的1.84%下降为2009年的0.90%,不合理用药总发生率为1.24%。结论问题医嘱修改率逐年提高,显色警示率逐年下降,临床用药日趋合理;不断完善的PASS系统对医院的合理用药具有重要的作用。

Objective To evaluate the status of drug use of the inpatients,summarize the problems of PASS and raise the related suggestion.Methods PASS-nested＂Army Health No.1＂hospital information system was used to evaluated the drug utilization in these patients from Jun 1,2005 to Dec 31,2009.Results The correction rate of the irrational drug use in medical order rised from 34.30%in 2005 to 75.19%in 2009.The total correction rate was 61.10%.The incidence rate of warned medical orders was 11.76%,reduced from 21.95%in 2005 to 3.53%in 2009.The total rate of irrational drug use was 1.24%,from 1.84%in 2005 down to 0.90%in 2009.Conclusion The total correction rate was increasing and the incidence rate of warned medical orders was decreasing yearly.The drug utilization in the inpatients of our hospital was rational gradually.The PASS played an important role in the clinical rational drug use in our hospital