摘要
目的分析我院鼻饲医嘱的常见问题,评价临床药师对医嘱前置审核系统持续改进的作用。方法收集我院2019年1-2月鼻饲医嘱情况,分析不合理医嘱。临床药师改进医嘱审核系统,进行用药指导宣教。分析干预后(2019年3-4月)鼻饲医嘱的情况,对比临床药师干预前后的效果。结果临床药师干预前:1-2月鼻饲医嘱5 598条,不合理医嘱总条数462条(8.25%)。前置审核系统共生成318条提示,正确提示181条(占56.92%),医生接受136条。临床药师干预后:3-4月鼻饲医嘱6 530条,不合理医嘱228条(占3.49%),干预后不合理医嘱显著减少(P<0.01)。前置审核系统共生成190条提示,正确提示176条(占92.63%),其中医生接受171条(90.00%),干预后医生接受度显著提高(P<0.01)。结论临床药师通过改进医嘱前置审核系统,提高了系统审核能力以及医生对系统的依从性,促进临床合理用药。
Objective To analyze the common problems in medication of nasogastric gavage in our hospital,and evaluate the role of clinical pharmacists in the improvement for medication pre-audit system.Methods The data of nasogastric gavage before intervention(from January to February 2019)were collected and the improper medications were analyzed.Clinical pharmacists updated the medication pre-audit system and provided pharmaceutical care for naso-gastric gavage.The situation of nasogastric gavage after intervention(from March to April 2019)was compared with that before intervention.Results Before intervention,there were 5598 medical records of nasogastric gavage,with 462(8.25%)irrational records.Medication pre-audit system defined 318 tips,in which 181(56.92%)were correct,and 136(42.77%)tips were accepted by clinicians.After intervention,there were 6530 medical records of nasogastric ga-vage,with 228(3.49%)irrational records,which were lower than those before intervention(P<0.01).Medication pre-audit system defined 190 tips,in which 176(92.63%)were correct,and 171(90.00%)tips were accepted by cli-nicians,which were higher than those before intervention(P<0.01).Conclusion Clinical pharmacists improve the audit capability of medication pre-audit system and the compliance of clinicians to it by improving the system,and pro-mote clinical rational drug use.
作者
王子民
姜德春
刘琛
崔晓辉
褚燕琦
闫素英
邵晨
WANG Zi-min;JIANG De-chun;LIU Chen;CUI Xiao-hui;CHU Yan-qi;YAN Su-ying;SHAO Chen(Department of Pharmacy,Xuanwu Hospital of Capital Medical University,Beijing 100053,China)
出处
《实用药物与临床》
CAS
2020年第6期557-560,共4页
Practical Pharmacy and Clinical Remedies
基金
北京市卫生和计划生育委员会“老年重大疾病关键技术研究”(PXM2018_026283_000002)。
关键词
临床药师
前置审核
鼻饲给药
干预
Clinical pharmacist
Pre-audit
Nasal Gavage
Intervention
