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超说明书用药的审核分级与综合处理_李玉堂.pdf

超说明书用药的审核分级与综合处理_李玉堂.pdf

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超说明书用药的审核分级与综合处理_李玉堂

瓒呰鏄庝功鐢ㄨ嵂鐨勫鏍稿垎绾т笌缁煎悎澶勭悊 锛 # 鏉庣帀鍫 锛屾潹鏄屼簯锛屾潕鐐庝腹锛屾潹鑸滃锛岀敇鎯犺礊锛堣В鏀惧啗绗?80鍖婚櫌闈欒剦鐢ㄨ嵂璋冮厤涓績锛屾硥宸炲競 362000锛 涓浘鍒嗙被鍙 R952 鏂囩尞鏍囪瘑鐮 C 鏂囩珷缂栧彿 1001-0408锛?011锛?7-1574-03 鎽 瑕 鐩殑锛氬缓绔嬩笌瀹炴柦瓒呰鏄庝功鐢ㄨ嵂鐨勫垎绾у鐞嗘祦绋嬶紝纭繚瀹℃柟宸ヤ綔姝e父寮€灞曪紝涓烘鍦ㄦ垨灏嗚杩愯闈欒剦鐢ㄨ嵂璋冮厤涓績锛圥IV- AS 锛夌殑鍖婚櫌鎻愪緵鍊熼壌鍜屽弬鑰冦€傛柟娉曪細缁撳悎鎴戦櫌PIVAS 鐨勫尰鍢卞鏍告儏鍐碉紝浠嬬粛灏嗚秴璇存槑涔︾敤鑽垎涓篈 銆丅 銆丆銆丏 銆乆 5涓瓑绾у尯鍒鐞 鐨勬柟娉曞強瀹炶返缁忛獙銆傜粨鏋滐細瀵硅秴璇存槑涔︾敤鑽殑瀹℃牳鍒嗙骇涓庣患鍚堝鐞嗭紝鍙渶澶ч檺搴︽弧瓒充复搴婃不鐤楅渶瑕侊紝闄嶄綆鑽墿鐨勬不鐤楅闄┿€傜粨璁猴細 瀹℃牳瓒呰鏄庝功鐢ㄨ嵂浣撶幇浜嗗鏂硅嵂甯堢殑浠峰€笺€傝€屽瓒呰鏄庝功鐢ㄨ嵂鐨勫垎绾с€佺患鍚堝鐞嗭紝鏈夊姪浜庡鏂瑰伐浣滅殑鏈夊簭寮€灞曪紝鍊煎緱鎺ㄥ箍銆 鍏抽敭璇 闈欒剦鐢ㄨ嵂璋冮厤涓績锛涘鏂硅嵂甯堬紱瓒呰鏄庝功鐢ㄨ嵂锛涘鏍稿垎绾э紱缁煎悎澶勭悊 Verification Grading and Overall Disposal for Off-Label Drug Use LI Yu-tang 锛孻ANG Chang-yun 锛孡I Yan-dan 锛孻ANG Sun-juan 锛孏AN Hui-zhen 锛圥IVAS of No. 180 Hospital of PLA 锛孮uanzhou 362000锛孋hina 锛 ABSTRACT OBJECTIVE 锛歍o establish and carry out the workflow of grading and disposal of off-label drug use so as to ensure good prescription checking 锛宎nd give advice and reference for the implementation of PIVAS in other hospitals. METHODS 锛欱ased on the practice of running prescription-checking in PIVAS of our hospital 锛宼he experience and methods of dividing off-label drug use into five grades such as 鈥淎鈥濓紝鈥淏鈥濓紝鈥淐鈥濓紝鈥淒鈥濓紝鈥淴鈥漺ere introduced. RESULTS 锛歍he verification grading and overall disposal of off-label drug use greatly met the needs of clinical treatment and minimized the risk of drug therapy. CONCLUSION 锛歏erification of off-label drug use reflects the value of prescription-checking pharmacist. The grading and disposal of off-label drug use contribute to orderly development prescription verification 锛寃hich is worthy of spreading. KEY WORDS PIVAS 锛汸rescription-checking pharmacist 锛汷ff-label drug use 锛沄erification grading 锛汷verall disposal 鑽搧璇存槑涔︽槸琛ㄨ揪鑽墿鐮旂┒缁撴灉鍜岀粨璁虹殑閲嶈鎶€鏈祫 鎵挎媴娼滃湪鐨勫尰鐤楅闄┿€ 鏂欙紝鏄尰甯堝紑鏂瑰拰鑽笀瀹℃柟鐨勪緷鎹紝浣嗕复搴婂父鍑虹幇瓒呭嚭鑽搧璇

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