论文部分内容阅读
目的:试点评2015年度医院门急诊西药超适应证用药情况,提出改进对策。方法:抽检2015年1月~12月本院门急诊西药处方14716张处方,采用药品说明书、《处方管理办法》等相关文献、法规与办法进行处方点评。结果:共发现问题处方占3.14%,其中超适应证使用药物51.30%,其中抗菌药物又占72.15%、非抗菌药物占27.85%,非抗菌药物中消化系统药物占36.36%、心脑血管药19.70%、内分泌功能药物16.67%、维生素及矿物15.15%、其它12.12%;符合操作规范89.87%,药物超适应证使用有相关信息证据,并经医院伦理委员会批准,未标注患者/家属是否知情同意5.91%;记录超适应证用药原因19.41%;用药信息依据主要临床实践经验、相关文献。结论:门急诊西药超适应症用药是最常见的超适应证用药类型,药物类型相对集中,多数有文献、经验证据,并经批准,但少部分未争求患者/家属同意,多数未记录超适应证用药原因,仍有待规范。
OBJECTIVE: To evaluate the use of drugs in outpatient and emergency department of the hospital for 2015 in Western medicine and put forward countermeasures for improvement. Methods: A total of 14,716 prescriptions for western medicine in our hospital from January to December in 2015 were selected, and the prescriptions were reviewed with relevant documents, laws and regulations such as drug specification and prescription management methods. Results: A total of 3.14% of the prescriptions were found, among which 51.3% were used in the indications of hyper-indications, of which 72.15% were antibacterials, 27.85% were non-antibacterials, 36.36% were non-antibacterials, 36.36% were non-antibacterial drugs, and 19.70% %, Endocrine function drugs 16.67%, vitamins and minerals 15.15%, other 12.12%; 89.87% compliance with the code of practice, the use of drug Superstitious evidence with relevant information, and approved by the hospital ethics committee, not marked patient / family member informed consent 5.91 %; Record super-indications medication reason 19.41%; medication information based on the main clinical practice experience, relevant literature. Conclusions: Outpatient and emergency department medicine is the most common type of drug used in the treatment of superadditive indications. The types of drugs are relatively concentrated. Most of them are documented, empirically verified and approved. However, Indications for drug use, remains to be standardized.