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目的:了解合理用药软件(PASS)对某院住院患者用药情况的监测作用,分析该医院医嘱合理用药情况,以促进临床合理用药。方法:利用PASS对一周内所有临床科室医嘱情况进行监测,分别统计问题医嘱发生率、类型、修改情况及具体药物。结果:在选定时段内监测结果涉及2 421名患者7 387条问题医嘱;按警示级别计,问题医嘱发生率为3 051.22;按监测类型计,问题医嘱主要发生在药物相互作用和剂量审查方面,发生率分别为1 134.42,1 237.92;各类问题医嘱修改率大约为60%;问题医嘱中出现最多的药物依次为螺内酯片、西咪替丁注射液、盐酸法舒地尔注射液、盐酸贝那普利片、维生素C注射液。结论:PASS能较准确监测医院问题医嘱发生情况,促进安全合理用药,对减少临床不合理用药有较高的利用价值。
OBJECTIVE: To understand the monitoring effect of PASS on inpatients’ medication in a hospital and to analyze the rational use of medication by the hospital in order to promote rational drug use in clinic. Methods: PASS was used to monitor the medical orders of all the clinical departments in one week, and to separately make statistics on the incidence, types, modification and specific drugs of doctor’s orders. Results: During the selected period, the monitoring results involved 7 387 medical orders in 2 421 patients. The incidence of medical doctor orders was 3 051.22 according to the level of warning. According to the type of medical examination, the medical orders mainly occurred in drug interactions and dose examination , Respectively, the incidence rates were 1 134.42,1 237.92; various types of questions doctor’s order to amend rate of about 60%; problems appear in the order of the most drugs are spironolactone tablets, cimetidine injection, fasudil hydrochloride injection, hydrochloric acid Benazepril tablets, vitamin C injection. Conclusion: PASS can accurately monitor the hospital orders doctor’s advice, promote safe and rational use of drugs, reduce the use of clinically unreasonable drug has a higher value.