基于合理用药系统促进癌痛规范治疗的药学实践

Pharmacist's Practice in Promoting Standardized Cancer Pain Treatment Based on the Rational Drug Use System

关键词:  癌痛规范化治疗  三阶梯止痛  合理用药系统  创业临床知识库系统  审方中心

Key words:  good pain management  analgesic ladder  rational drug system  entrepreneurial clinical knowledge base system  center of prescriptions

摘要:

目的 总结癌痛规范化治疗示范医院创建的经验，进一步促进癌痛规范化治疗。方法 临床药师通过在合理用药系统和创业临床知识库系统中搭建癌痛用药规则体系，借助审方中心，阻止不合理医嘱行为，从而规范镇痛药物的使用，提高患者用药安全。此外，临床药师定期对麻醉第一类精神药品处方及住院癌痛病历进行点评和动态分析，以点评结果检验系统规则拦截的有效性，不断完善规则体系，促进癌痛治疗的规范化。结果 全院麻醉第一类精神药品处方的合格率从98.80%升高到99.51%；住院癌痛病历点评的合格率从91.36%升高到97.89%。结论 临床药师基于合理用药系统和创业临床知识库系统的用药规则维护，从流程上阻止不合理用药，可以提高医院药事管理和药学服务的水平，有效推进癌痛规范化治疗示范医院的创建。

Abstract:

OBJECTIVE To summarize the experiences in the establishment of good pain management hospital and to further promote the standardized treatment of cancer pain. METHODS Through establishing the rule system of medication for cancer pain with rational drug use system and entrepreneurial clinical knowledge base system, clinical pharmacists prevented unreasonable medical advice behavior with the help of the prescription center, so as to regulate the use of analgesic drugs and improve patients' medication safety. In addition, clinical pharmacists regularly reviewed and dynamically analyzed the prescription of narcotic category I psychotropic drugs and inpatient cancer pain cases, to inspect the effectiveness of the system rules and to continuously improve the rule to promote the standardization of cancer pain treatment. RESULTS The qualification rate of the prescription of narcotic category I psychotropic drugs in hospital increased from 98.80% to 99.51% and the qualification rate of inpatient cancer pain cases increased from 91.36% to 97.89%. CONCLUSION Clinical pharmacists can effectively prevent unreasonable prescription by maintaining the medication rules with the rational drug use system and the entrepreneurial clinical knowledge base system, which can improve hospital pharmacy administration and pharmaceutical service, promote the establishment of the good pain management hospital.