临床药师参与医嘱审核及分析

Analysis and participation of clinical pharmacists in medical order check

目的分析临床药师对不合理医嘱的干预情况,促进临床合理用药。方法收集2017年4月～2018年3月首都医科大学附属北京同仁医院南区临床药师对神经内科、神经外科、骨科的不合理医嘱干预记录,按照不合理医嘱类型及各科情况进行统计分析。结果不合理医嘱干预记录共116例,干预成功率为100%。不合理医嘱类型占前3位的分别是药物选择、给药剂量、给药途径,分别占21.6%、14.7%、12.1%。神经内科、神经外科和骨科不合理医嘱分别为50例、36例、骨科30例,分别占43.10%、31.03%、25.86%。结论医嘱审核是临床药师促进临床合理用药的一种有效手段。

Objective To promote rational drug use in the clinic through analysis of the clinical pharmacists intervening in irrational medical orders.Methods From April 2017 to March 2018,the data about clinical pharmacists intervening in irrational medical orders in Department of Neurology,Neurosurgery and Orthopedics in the Southern District of Beijing Tongren Hospital,Capital Medical University were collected for statistical analysis with regard to the category of irrational medical orders and each department.Results There were 116 cases of intervention records of irrational medical orders and success rate of intervention was 100%.Top 3 types of irrational medical orders were medicine selection(21.6%),dosage(14.7%),route of administration(12.1%).50 cases,36 cases and 30 cases medical orders given by Department of Neurology,Neurosurgery and Orthopedics were found to be irrational,accounting for 43.10%,31.03%and 25.86%respectively.Conclusion Checking medical order is an effective method for clinical pharmacists to promote rational drug use.