临床药师参与肿瘤内科全医嘱审核情况分析.PDFVIP

临床药师参与肿瘤内科全医嘱审核情况分析  a b* 唐慕菲 ，沈芸竹 (南京医科大学附属南京医院，南京市第一医院，a.药学部；b.肿瘤内科，南京 210006) 摘要：目的 全面了解肿瘤内科医嘱情况，保证临床用药的合理安全。方法 临床药师对肿瘤内科实行全医嘱审核，并 将2017 年的审核情况进行总结分析。结果 2017 年全年，临床药师共审核肿瘤内科医嘱 16 754 条，其中不合理医嘱201 条，总不合理率为 1.20%。第1 季度、第2 季度、第3 季度和第4 季度不合理率分别为 1.62%，1.42%，0.95%和0.77% 。 不合理医嘱包括化疗药物预处理不适宜、给药频次不适宜、溶媒使用不适宜、给药时间不适宜、适应证不适宜、给药剂 量不适宜、给药途径不适宜、重复用药及遴选药品不适宜等9 种类型，占不合理医嘱总数的比例分别为 17.4%，15.9%， 15.4%，13.4%，11.9%，10.9%，9.0%，4.0%和 2.0% 。结论 2017 年肿瘤内科医嘱不合理率按季度呈下降趋势，在一定 程度上证实临床药师全医嘱审核和及时干预沟通对合理用药具有较好的作用。 关键词：临床药师；肿瘤内科；全医嘱审核 中图分类号：R969.3 文献标志码：B 文章编号：1007-7693(2019)02-0221-04 DOI: 10.13748/ki.issn1007-7693.2019.02.018 引用本文：唐慕菲, 沈芸竹. 临床药师参与肿瘤内科全医嘱审核情况分析[J]. 中国现代应用药学, 2019, 36(2): 221-224. Analysis of Participation of Clinical Pharmacists in Examination of General Medical Orders in Department of Oncology a b* TANG Mufei , SHEN Yunzhu (Nanjing First Hospital, Nanjing Medical University, a.Department of Pharmacy; b.Department of Oncology, Nanjing 210006, China) ABSTRACT: OBJECTIVE To investigate the medical orders in department of oncology and to ensure the reasonable and safe use of clinical medicine. METHODS The clinical pharmacists condueted a full medical examination of the oncology department. And the court conditions in 2017 was summarized and analyzed. RESULTS In the whole year of 2017, the clinical pharmacists reviewed 16 754 medical orders, among which 201 were not reasonable, and the total irrational rate was 1.20%. In the first quarter, the second quarter, the third quarter and the fourth quarter, the irrational rate was 1.62%, 1.42%, 0.95% and 0.77% respectively. The irrationality manifested as irrational pretreatment of chemotherapy drug, irrational interval of