肺部肿瘤科止吐用药医嘱点评及合理性分析_尹月_邱新野_贾立华_牛文敬_马吉_付桂.pdf

2014 2 111 Chinese Journal of Drug Application and Monitoring, Vol.11, No.1, February 2014 1 2 1 1 1 1 尹　月 ，邱新野 ，贾立华 ，牛文敬 ，马　吉 ，付桂英1. 100071 2. 100069 [] 对肺部肿瘤科医嘱进行点评，规范医师处方行为，促进合理用药，确保临床用药安全、有效、经济。收 集2013 年2 – 10 月每月使用5-HT3 受体拮抗剂的住院患者医嘱，对其合理性使用进行点评与分析。2026 份病历中有 401 份存在不合理用药现象，主要包括药物选择不适宜（0.94% ）、用法与用量不合理（2.07% ）、联合用药不恰当（14.66% ）、疗 程选择不规范（1.33% ）及违反药物经济学原则（0.79% ）。通过临床药师的实时干预以及医疗质量考评相结合的措施，不合理 医嘱率由最初的35.44% 下降至3.85% ，并呈逐月下降趋势。通过对病区医嘱的点评工作，提高了临床的合理用药水 平，确保患者用药安全。 []　抗肿瘤；住院医嘱；合理用药；用药分析 [ ]R969.3 [ ]A [ ]1672 – 8157(2014)01 – 0041 – 04 Prescription review and analysis of rational use of antiemetics in department of lung oncology 1 2 1 1 1 1 YIN Yue , QIU Xin-ye , JIA Li-hua , NIU Wen-jing , MA Ji , FU Gui-ying (1. Department of Pharmacy, Affiliated Hospital, Academy of Military Medical Sciences, Beijing 100071, China; 2. Department of Pharmacy, Beijing Youan Hospital, Capital Medica l University, Beijing 100069, China) [ABSTRACT]Objective: To review prescriptions in department of lung oncology for normalizing the prescribing behavior of physicians and promoting the rational use of clinical medicine, so as to ensure the safe, economical and effective drug use. Methods: The hospitalized prescriptions referred to the 5-HT receptor antagonists were collected monthly from February to October in 2013, 3 and the rationality of those prescriptions were evaluated and analyzed. Results: There were 401 inappropriate prescriptions in 2026 cases of medical records. The main problems of irrational use of drugs included irrational drug selection, which accounted for 0.94% of all prescriptions colleceted, irrational dosage and administration of the medicine (accounting for 2.07%), irrational combination of drug therapy (accounting for 14.66%), irrati