2011年我院360例病历用药点评分析

Comments on Cases and Drug Using Analysis of 360 Cases in 2011 in Our Hospital

目的规范临床医师病历用药行为,保证患者用药安全有效,充分发挥药师在临床药物治疗中的作用。方法随机抽取我院2011年360例病历进行点评,并对其中不合理用药现象进行统计分析。结果不合格病历占32.22%,共有128例用药不合理现象,主要为用法用量不适宜、药物选择不当、联合用药不适宜、重复给药、配伍禁忌或配伍不当等。结论通过病历用药点评的开展,发现我院临床药物治疗中不合理用药现象较为普遍。临床药师应及时将点评情况、结果反馈给临床,对不合理用药行为进行干预与提醒,共同促进药物合理使用。

Objective To standardize the behaviour of the clinician on how to give proper medicine based on cases. Ensure the safety and the efficacy of the medicine for patients. And bring the pharmacist into full play. Methods Choose 360 of the cases in 2011 in our hospital to comment and statistically analyze the phenomenon of irrational drug use. Results 32.22% of the cases are substandard, 128 of which are irrationa/ drug use, mainly including irrational ways and amount of giving medicine, not choosing proper medicine, irrational combined medication, repeat to give patients extra medicine, incompatibility and so on. Conclusion Through the study and the comment on cases, I found that the irrational drug use was very common in our hospital. Pharmacist should report the comments to the clinician to intervene and remind them to ensure the safe and efficient drug use.