臨床藥師參與輔助用藥醫(yī)囑審核及臨床干預(yù)效果分析
發(fā)布時(shí)間:2018-01-22 02:49
本文關(guān)鍵詞: 輔助用藥 醫(yī)囑審核 臨床干預(yù) 出處:《臨床醫(yī)藥文獻(xiàn)電子雜志》2016年53期 論文類(lèi)型:期刊論文
【摘要】:目的通過(guò)臨床藥師干預(yù),促進(jìn)我院輔助用藥的規(guī)范性、安全性和經(jīng)濟(jì)性,達(dá)到合理用藥的目的。方法選取我院2015年2月~2016年1月輔助用藥醫(yī)囑,對(duì)其進(jìn)行專(zhuān)項(xiàng)點(diǎn)評(píng),將其中發(fā)現(xiàn)的典型問(wèn)題通過(guò)臨床藥師查房宣教的方式加以干預(yù),評(píng)價(jià)該類(lèi)藥在臨床應(yīng)用中的潛在風(fēng)險(xiǎn)和經(jīng)干預(yù)后的效果。結(jié)果我院輔助用藥中應(yīng)用范圍最廣的是中藥注射劑及其衍生物,審核醫(yī)囑問(wèn)題出現(xiàn)較多的分別為丹參川芎嗪注射液、轉(zhuǎn)化糖電解質(zhì)、脂溶(Ⅱ)/水溶性維生素,問(wèn)題醫(yī)囑比例分別為90.0%、84.6%和83.8%。存在的主要問(wèn)題是超說(shuō)明書(shū)用法用量、適應(yīng)證不適宜、聯(lián)合用藥不適宜、溶媒選擇不適宜等。結(jié)論通過(guò)臨床藥師干預(yù)后,我院輔助用藥情況得到明顯改善,用藥更加合理化,從而能夠更好地服務(wù)于患者。
[Abstract]:Objective to promote the standardization, safety and economy of adjuvant drug use in our hospital through the intervention of clinical pharmacists, and to achieve the purpose of rational drug use. Special comments were made on them, and the typical problems found in them were interfered with by the way of clinical pharmacists' rounds of propaganda and education. Results the most widely used Chinese medicine injection and its derivatives were Chinese medicine injection and its derivatives in our hospital. The problems of examining doctors' orders were Salvia miltiorrhiza ligustrazine injection, transforming sugar and electrolyte, lipolysis (鈪,
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