药师通过联络信发挥干预作用对处方实时审核结果的分析.pdfVIP

中国药物应用与监测 2014 年8 月第11卷第4期 Chinese Journal of Drug Application and Monitoring, Vol.11, No.4, August 2014 ·用药分析 · 药师通过联络信发挥干预作用对处方实时审核结果的分析 谢婷婷，任浩洋（解放军总医院药品保障中心，北京100853 ） [摘要]　目的：探讨我院门诊药房处方实时干预审核的作用与效果。方法：采用回顾性分析方法，对我院门诊药房2013 年1 – 7 月的处方实时干预结果进行全样本分析，共收集药师书写的实时干预联络信1567份，对联络信中记录的不合理处 方问题逐一登记，并对数据进行统计分析。结果：在1567份联络信中，主要存在的处方问题有10种，分别是用法用量不适宜 638 张（40.71% ）、未使用药品通用名称241 张（15.38% ）、签章不全234 张（14.93% ）、处方类别不适宜198张（12.64% ）、未注 明皮试结果92 张（5.87% ）、给药途径不适宜67 张（4.28% ）、诊断缺失60 张（3.83% ）、特殊人群禁忌16张（1.02% ）、重复给药 11张（0.70% ）、超说明书用药10张（0.64% ）。不合理处方所占比例自1月份开始至7 月份呈明显的下降趋势，由最初的9.20% 下降至1.00%。结论：窗口药师加强对处方的实时审核，积极发挥对处方的干预作用，通过联络信的方式与临床进行有效的 沟通，确保患者的用药安全。 [关键词]　处方；药师；联络信；干预；合理用药 [ 中图分类号]　R969.3　　 [ 文献标识码]　A　 [ 文章编号]　1672 – 8157(2014)04 – 0228 – 04 Analysis of the real-time intervention of prescriptions based on the role of pharmacist in intervention by the contact letter XIE Ting-ting, REN Hao-yang(Department of Pharmaceutical Care, PLA General Hospital, Beijing 100853, China) [ABSTRACT]　Objective: To explore the effect on real-time intervention of prescriptions in outpatient pharmacy of our hospital. Methods: The results about the real-time intervention of prescriptions were reviewed retrospectively from January to July in 2013. A total of 1567 contact letters were collected, the basic data information was filled in a form and the data were statistically analyzed. Results: Among 1567 contact letters, there were 10 main types of irrational prescriptions problems, such as inappropriate usage and dosage (638 cases, 40.71%), without using the standard drug name (241 cases, 15.38%), insufficient signature (234 cases, 14.93%), unsuitable categories of prescriptions (198 cases, 12.64%), without the indication of the results of skin test (92 cases, 5.87%), inappropriate route of administration (67 cases, 4.28%), missing the diagnosis (60 cases, 3.83%), contraindication of special people (16 cases, 1.02%), repeated administ