临床药师对ICU156次住院医嘱的干预情况分析

Analysis of 156 Times of Inpatient Medical Orders Intervention in ICU by Clinical Pharmacists

目的:分析临床药师对住院患者医嘱的合理用药干预情况。方法:临床药师通过临床查房,依据药品说明书等资料并结合四川美康医药"合理用药监测系统",对我院2013年1-8月ICU住院医嘱进行审核和干预,并对医嘱干预情况进行统计分析。结果:临床药师共提出156次医嘱干预,有132次得到医师的采纳,采纳率为84.6%。不合理用药类型占前3位的分别为用法用量及疗程不合理、超适应证用药、溶媒选择不合理。结论:临床药师医嘱审核干预有利于促进临床合理用药和临床药学工作的开展。

OBJECTIVE： To investigate the clinical pharmacists intervening in rational drug use of medical orders for inpatients. METHODS： By clinical rounds, according to instructions, in combination with Sichuan Meikang Pharmaceutical ＂Rational Drug Use Monitoring System＂, medical orders of inpatients in ICU of our hospital during Jan.--Aug. 2013 were reviewed and intervened, and the medical intervention were analyzed statistically. RESULTS： There were total of 156 times of intervention by clinical pharmacists, 132 times accepted by physician, accounting for 84.6%. Top 3 types of irrational drag use were irrational usage, dos- age and irrational treatment course, off-indications drug use and irrational selection of solvent. CONCLUSIONS： Clinical pharma- cist medical order review promotes clinical rational drug use and clinical pharmacy.