论文部分内容阅读
目的了解基层医院不合理用药情况,使基层医院临床医师更合理有效地利用医药资源,促进合理用药。方法根据药品说明书、指南专家共识及文献资料,对基层医院2013年6月-2014年6月不合理用药病历和处方进行分析与评价。结果不合理用药主要反映在选择药物不适宜、用药与诊断不符、无指征使用抗菌药物、用法用量不当、中药注射液的不合理使用等方面。结论应针对不合理用药存在问题制定相应措施,加强药物知识和相关法律、法规培训,促进临床药学工作、建立健全临床用药监督体系,以保障患者的用药安全。
Objective To understand the irrational use of drugs in grassroots hospitals so that clinicians in grassroots hospitals can utilize the resources of medicine more reasonably and effectively and promote rational drug use. Methods Based on the drug instruction manual, consensus of experts in the guideline and the literature, the unreasonable medical records and prescriptions of primary hospitals from June 2013 to June 2014 were analyzed and evaluated. Irrational use of drugs mainly reflected in the inappropriate choice of drugs, medication and diagnosis does not match, no indications for the use of antibacterial drugs, the amount of improper usage, the irrational use of traditional Chinese medicine injection and so on. Conclusions Aiming at the existing problems of irrational use of medicines, we should formulate appropriate measures to strengthen the training of drug knowledge and relevant laws and regulations, promote clinical pharmacy work, and establish and improve a clinical drug supervision system to ensure the safety of patients’ medication.