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目的:探讨临床合理用药监测软件系统(PASS)在医院临床医嘱审查中的应用。方法:统计分析我院2005年4月~2006年4月经PASS系统审查的医嘱警示级别、类型及医嘱修改率,并判定PASS系统审查警告与临床用药的相符性。结果:共监测医嘱10982160条,其中黑色警示11146条,修改2861条(25.67%);红色警示51504条,修改10357条(20.0%);黄色警示339449条,修改66022条(19.45%),在PASS系统监测过程中,出现了可行性临床医嘱与PASS系统警示不相符的情况。结论:PASS系统审查医嘱方便、快捷,提高了临床合理用药水平,但PASS系统功能还需不断更新和优化。
Objective: To explore the application of clinical rational drug monitoring software system (PASS) in hospital clinical examination. Methods: Statistical analysis of our hospital from April 2005 to April 2006 by the PASS system examination of the order warning level, type and order rate of change, and determine the PASS system to review the compliance of the warning and clinical medication. Results: A total of 10,982,160 medical orders were inspected, including 11,146 black warnings and 2861 (25.67%) modifications; red warnings 51,504 and modification of 10,357 (20,0%); yellow warnings 339,449 and modification of 64,022 (19.45%), respectively, System monitoring process, there has been a feasibility of clinical advice and PASS system warning does not match the situation. Conclusion: The PASS system is convenient and quick to review doctor ’s orders, and improves the clinical reasonable medication level. However, the function of PASS system needs to be continuously updated and optimized.