临床药学工作站V2.1审查我院医嘱的调查分析报告

Investigation and Analysis Report of Prescriptions Monitored by DAITO Clinical Pharmacy Workstation

关键词:  临床药学工作站  合理用药  医嘱  分析

Key words:  clinical pharmacy workstution  rational drug use  prescriptions  analysis

摘要:

目的 分析“临床药学工作站 V2.1”审查医嘱中存在的问题。 方法 收集被该系统审核不合理的医嘱，结合病历记载信息，分类讨论不合理医嘱的药物、数量、警示等内容。 结果 共收集到该系统监测到的44 652条不合理用药医嘱中，其中因配伍禁忌提示3 904条，因药物相互作用提示24 621条，因重复用药提示15 919条，因用法用量提示208条，其中有效提示24 823条。 结论 该系统软件在方便快捷地协助临床药师审核医嘱，减少药源性疾病的发生方面起到了一定的促进作用，但是对于所警示的内容仍需要不断地完善，以期能够更加准确地提供药物不合理使用信息。

Abstract:

OBJECTIVE To evaluate the software DAITO clinical pharmacy workstation in prescriptions monitoring. METHODS The data of 44 652 pieces of prescriptions monitored by DAITO were collected and retrospectively analyzed with the medical records. The names, quantities of medicines which were warned by DAITO and the caution contents and the modification rate of prescriptions warned by DAITO were summarized. RESULTS 44 652 pieces of prescriptions were warned by DAITO. 3 904 pieces of prescriptions were warned because of the mixing contraindication, 24 621 pieces for medicine interaction, 15 919 pieces for repeated prescription, 208 pieces for use methods and dosage, and among these prescriptions there are 24 823 pieces of valid warnings. CONCLUSION The DAITO can be a convenient assistant to medicinal workers and will be helpful to avoid the medicine source diseases and may promote rational drug use, but the caution contents need constantly checked for perfect.