我院老年患者门诊使用高危药品的处方点评研究

Prescription Commentson High-risk Drugs for Elderly Outpatientsin Our Hospital

目的通过对我院门诊老年患者使用高危药品的处方进行点评研究,为门诊老年患者使用高危药品的处方点评方法提供参考,促进合理用药。方法通过对门诊老年患者高危药品处方的数量及金额分布情况进行统计,并对高危药品金额进行排序,分析门诊老年患者高危药品使用特点,确定点评目录;根据《医院处方点评管理规范(试行)》,并结合各类高危药品的使用情况和老年人的生理特点,建立门诊老年患者使用高危药品的处方点评技术规范,并对重点品种进行实证点评。结果我院老年患者比例较高,同时老年患者单张处方金额也较高,说明老年患者用药更为复杂。通过对高危药品点评目录进行分析,列出了门诊需重点点评的高危药品品种,并通过对重点品种的实证点评,发现不合理处方比例较高,但存在的问题各有不同。结论对老年患者使用的高危药品进行处方点评,建立门诊老年患者高危药品处方点评技术规范,将成为预防和减少老年患者药源性疾病的重要措施,对于提高临床用药的有效性和安全性具有重要意义。

OBJECTIVE To analyze the features of high-risk drugs prescriptions for elderly outpatients in our hospital, so as to provide references for establishing the prescription comment method of high-risk drugs used by elderly outpatients and promote the ra- tional drug use. METHODS The number and amount of money of high-risk drugs prescriptions for elderly outpatients were counted, and the amount of high-risk drugs were sorted, so as to find out the features of high-risk drugs use in elderly outpatients and determine the prescription comment catalogue. According to ＂The hospital prescription comment management specification （Trial）＂, and com- bined with the use of high-risk drugs and physical characteristics of elderly patients, the prescription comment technical manual of high- risk drugs used by elderly outpatients was established, and the key drugs were commented for demonstration purpose. RESULTS Elderly patientsoccupied a high proportion in our hospital, and the amount of money of single prescription was also high, which indica- ted that the elderly patients had more complex drug use. Through analysis of high-risk drugs prescriptions, the comment catalogue was established. And through empirical review of the prescriptions of key drugs, it was found that the proportion of unreasonable prescrip- tions was high, with variousproblems among different prescriptions. CONCLUSION This study established the prescription comment technical manual of high-risk drugs used by elderly outpatients, which should become an important measure to prevent and reduce drug- induced diseases in elderly patients, and improve the effectiveness and safety of clinical medication.