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北京市属医院住院医嘱点评审核工作现状调查与分析
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| 篇名： | 北京市属医院住院医嘱点评审核工作现状调查与分析 |
| TITLE： | Investigation and analysis of the review and comment on inpatient medical orders in Beijing municipal hospitals |
| 摘要： | 目的 调研北京市属医院住院医嘱点评审核工作现状，为进一步完善相关工作提出对策建议。方法通过问卷调查法调查北京22家市属医院的住院医嘱点评审核工作现状，对调查结果进行统计分析。结果共发放问卷22份，问卷回收率和有效率均为100%。22家医院均开展了住院医嘱点评工作，但各医院住院医嘱点评比例不尽相同（0.88%～98.54%）；点评药品主要集中在抗菌药物、质子泵抑制剂、麻醉药品/第一类精神药品、辅助用药等品类；205名药师参加了住院医嘱点评工作，大部分具有中级及以上职称（89.27%）；21家医院将住院医嘱点评结果向相关科室或责任人进行了反馈，但干预情况不尽相同。18家医院开展了住院医嘱审核工作，审核的药品品类与医嘱点评药品品类大致相同，审核内容包括给药途径、给药剂量等的适宜性，主要采取审核软件和药师人工配合的审核方式。结论北京市属医院住院医嘱点评和审核工作有序开展，取得了初步成效；但也需要进一步提升医嘱点评审核药师的工作能力、完善点评审核规范、优化审核软件，通过医药协同促进住院患者合理用药。 |
| ABSTRACT： | OBJECTIVE To investigate the current situation of the review and comment on inpatient medical orders in Beijing municipal hospitals， and to put forward countermeasures and suggestions for further improving related work. METHODS A questionnaire survey was conducted to investigate the current situation of the review and comment on inpatient medical orders in 22 Beijing municipal hospitals. The statistical analysis was conducted for the survey results. RESULTS A total of 22 questionnaires were distributed， with recovery effective rate of 100%. The 22 hospitals carried out inpatient medical order comment， but their proportion varied among hospitals （0.88%-98.54%）； medical order comment mainly focused on antibiotics， proton pump inhibitors， anesthetic drugs/class Ⅰ psychotropic drugs， auxiliary drugs and other categories； 205 pharmacists participated in the comment of inpatient medical orders， most of whom hold intermediate or higher professional titles （89.27%）； 21 hospitals conducted inpatient medical order comment and feedback the results to relevant departments/responsible persons， but the intervention situation was not the same. Eighteen hospitals had carried out the review of inpatient medical orders； reviewed drug category was roughly the same as the category involved in the medical order comment； review content involved the suitability of administration routes， dosage， etc. The review was conducted mainly through the cooperation of audit software and pharmacists. CONCLUSIONS The comment and review of inpatient medical orders in Beijing municipal hospitals carried out in an orderly manner， and preliminary results have been achieved； at the same time， it is necessary to further increase the ability of participating pharmacists， improve audit standards， optimize pre-audit （No.ZYLX201805） software， and promote rational drug use among hospitalized patients through doctor-pharmacist collaboration. |
| 期刊： | 2024年第35卷第10期 |
| 作者： | 所伟；王悦；陈亮；张兆琦；古浩璁；罗小军；王文凤 |
| AUTHORS： | SUO Wei，WANG Yue，CHEN Liang，ZHANG Zhaoqi，GU Haocong，LUO Xiaojun，WANG Wenfeng |
| 关键字： | 医嘱审核；医嘱点评；药师；合理用药 |
| KEYWORDS： | medical order review； medical order |
| 阅读数： | 33 次 |
| 本月下载数： | 2 次 |
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