我院2013-2016年住院患者口服药品医嘱审核情况分析

Analysis of Inpatient Medical Prescriptions of Oral Medicines between 2013 and 2016

目的通过药师对审核住院患者口服药品医嘱的效果进行分析,促使审核工作更加系统化与程序化,促进口服药品的合理使用。方法利用医院HIS系统统计2013年6月-2016年8月口服药品医嘱的数据和药师审核干预的纸质记录,通过审核住院患者口服药品医嘱中的服药时间是否正确,缓控释制剂的使用是否正确,医嘱中是否存在重复用药问题,药品的剂量、用法是否符合说明书规定,患者服用多种药品是否存在潜在的相互作用。结果 3年间药师审核医嘱的数量一直保持在99%以上,药师审核干预成功率保持在95%以上,不适宜医嘱逐年下降。不适宜医嘱类型主要为服药时间不正确和剂量、用法不正确,构成比分别为71.77%、71.07%及64.70%。涉及的药品主要是糖尿病用药和高血压用药。结论药师进行医嘱审核干预对口服药品的正确使用效果明显,对保证患者药物治疗安全、有效起到重要作用。

Objective To analyze the results of inpatient medical prescriptions of oral medicines from the pharmacists, to systemize and program the checking process, to promote the rational use of oral medicines. Methods The HIS system was used to collect data of oral medicines from June 2013 to August 2016 which are based on doctors5 prescriptions and the pharmacists5 intervention. Doctors5 prescriptions in inpatient section on oral medicines were regulated. Whether the time of taking medicine, the using of sustained release dosage forms correct, whether the repeated dosage in the prescription exists,whether the amount and the usage of medicine meet the criterion of the directions and if patient uses various kinds of medicine at the same time, the potential drug interactions were checked by the pharmacists. Results The rate of checking prescriptions and successM intervention by the pharmacists always maintains over 99 percent and 95 percent separately among three years. Unsuitable prescriptions drop year by year. According to our analysis, types of unsuitable prescriptions are mostly incorrect medication time, incorrect dosage and incorrect usage of consumption, accounting for 71.77%, 71.07% and 64.70%. The medicines of unsuitable prescriptions are mainly for the treatment of diabetics and high blood pressure. Conclusion The intervention on prescriptions by pharmacists for the correct use of oral medicines is effective. The in-time intervention of the pharmacists plays an important role in ensuring thesafety and effectiveness of drug use of patients.