文章摘要
徐彬,胡吕萍,黄娣.运用欧洲医药保健网分类系统对辅助用药医嘱 1 200份分析[J].安徽医药,2020,24(7):1468-1473.
运用欧洲医药保健网分类系统对辅助用药医嘱 1 200份分析
Analysis of 1 200 prescriptions of adjuvant drugs using the classification system of Pharmaceutical Care Network of Europe
  
DOI:10.3969/j.issn.1009?6469.2020.07.050
中文关键词: 处方  药用制剂  治疗应用  药物警戒性  药物利用评审  欧洲医药保健网分类系统  辅助用药  医嘱点评
英文关键词: Prescriptions  Pharmaceutical preparations  Therapeutic uses  Pharmacovigilance  Drug utilization review  PCNE classification system  Adjuvant drug  The prescriptions
基金项目:上海市卫生和计划生育委员会科研课题( 20174Y0215)
作者单位
徐彬 上海交通大学医学院附属新华医院崇明分院 药剂科上海 202150 
胡吕萍 上海交通大学医学院附属新华医院崇明分院 药剂科上海 202150 
黄娣 上海交通大学医学院附属新华医院崇明分院 人事科上海 202150 
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中文摘要:
      目的运用欧洲医药保健网分类系统( PCNE)分类体系点评分析住院病人辅助用药的使用现状,以促进辅助用药的合理使用。方法随机抽取上海交通大学医学院附属新华医院崇明分院 2018年 10—12月涉及辅助用药的出院病历 1 200份,对病历中辅助用药的使用情况进行点评分析,并根据 PCNE分类体系对辅助用药医嘱中药物相关问题( DRPs)进行分类汇总。结果发生 DRPs的病历数量为 317份,“治疗安全性”“治疗效果”“其它方面”
英文摘要:
      Objective To analyze the prescriptions of adjuvant drugs for the inpatients using the classification system of Pharma?ceutical Care Network of Europe(PCNE)and promote the rational use of adjuvant prescriptions.Methods A total of 1200 dis? charge records involving adjuvant drugs were randomly selected from Chongming branch of Xinhua Hospital Affiliated to the Medi?cal College of Shanghai Jiaotong University from October to December 2018,and the use of adjuvant drugs in the medical re? cords was evaluated.Using the PCNE classification system,the list of drug?related problems(DRPs) in prescriptions was ana? lyzed.Results There were 317 medical records of DRPs,363 cases of DRPs in total.The number and proportion of "treatment safe? ty","treatment effect" and "other aspects" were 227(62.53%)39(10.74%)and 97(26.72%)respectively.The causes of DRPs mainly focused on the three aspects of "drug selection","dosese,lection" and "treatment course",a,nd the quantity and proportion were 191(48.11%)91(22.92%)and 75(18.89%),respectively.Conclusions The rationality of clinical application of auxiliarydrugsneedstobefurth,er improved.According to the analysis of PCNE classification system,it is necessary to strengthen the feed?back to the clinic about the problems existing in the current auxiliary medication orders.At the same time,clinical pharmacists should strengthen the intervention measures,and standardize the clinical application of auxiliary medication.
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