摘要
目的:设计质子泵抑制剂(PPI)医嘱点评软件,促进临床合理用药。方法:根据某"三甲"医院(以下简称"样本医院")住院患者PP(I以PPI注射剂为例)使用情况设计医嘱点评软件的点评流程,在此基础上,与计算机工程师协作开发住院患者PPI医嘱点评软件;以不合理用药检出率及人均耗时为指标,对比软件点评和人工点评的效果,并利用软件事前点评样本医院2018年2月静脉用药调配中心PPI注射剂摆药医嘱及回顾性点评2015年1月-2017年12月期间住院患者PPI注射剂不合理用药情况(均包括不合理的治疗用药、预防用药及无指征用药)。结果:设计的PPI医嘱点评软件包括用户和任务(定时点评)、系统设置、确认审核(对软件自动点评的结果进行复核)、报告导出4个模块。与人工点评相比,软件点评的不合理用药检出率(69.50%vs. 77.00%)无显著差异(P>0.05),人均耗时(9.25 min vs. 1.50 min)显著缩短(P<0.05);在事前点评应用中,不合理治疗用药27条(2.23%)、不合理预防用药318条(26.24%)、无指征用药602条(49.67%);在回顾性点评应用中,不合理治疗用药4 884条(2.68%)、不合理预防用药50 399条(27.67%)、无指征用药85 106条(46.72%)。结论:PPI医嘱点评软件的应用缩短了药师点评时间,提高了点评效率,促进了PPI临床合理用药。
OBJECTIVE:To design Proton pump inhibitor(PPI)medical order evaluation software,and to promote rational drug use in clinic.METHODS:According to the use of PPI(PPI injection as an example)of inpatients in a Third Grade Class A hospital(hereinafter referred to as"sample hospital"),the evaluation process of medical order evaluation software was designed.On this basis,medical order evaluation software for inpatients was developed in collaboration with computer engineers.Taking the detection rate of irrational drug use and the time consuming per capita as indicators,the effects of software evaluation and manual evaluation were compared.Dispensing medical orders of PPI injection in PIVAS of sample hospital was evaluated with the software pre-evaluation in Feb.2018.Irrational use of PPI injection(including irrational medication for treatment,prevention and non-indication)in the inpatients was evaluated retrospectively during Jan.2015-Dec.2017.RESULTS:The software of PPI audit includes four modules:users and tasks(timing audit),system settings,confirmation of audit results(check the results audited by the software automatically)and reports exporting.Compared with manual evaluation,there was no significant difference in detection rate of irrational drug use in software audit(69.50%vs.77.00%,P >0.05);the time consuming per capita was shortened significantly(9.25 min vs.1.50 min,P<0.05).In the application of pre-evaluation,27(2.23%)were irrational for treatment,318(26.24%)were irrational for prevention and 602(49.67%)for non-indications.In the application of retrospective review,4 884(2.68%)were irrational medication for treatment,50 399(27.67%)irrational medication for prevention and 85 106(46.72%)medication without indications.CONCLUSIONS:The application of PPI medical order evaluation software shortens the time of pharmacist's evaluation,improves the efficiency of evaluation,and promotes the rational use of PPI in clinic.
作者
宋瑞
汪燕燕
刘正跃
王学彬
许杜娟
SONG Rui;WANG Yanyan;LIU Zhengyue;WANG Xuebin;XU Dujuan(School of Pharmacy,Anhui Medical University,Hefei 230032,China;Dept.of Pharmacy,Sixian County People’s Hospital of Anhui Province,Anhui Suzhou 234300,China;Dept.of Pharmacy,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Dept.of Pharmacy,Shanghai Changhai Hospital,Shanghai 200433,China)
出处
《中国药房》
CAS
北大核心
2019年第3期417-420,共4页
China Pharmacy
基金
安徽省自然科学基金资助项目(No.1508085QH166)
关键词
质子泵抑制剂
医嘱点评
软件设计
合理用药
Proton pump inhibitor
Medical order
Software design
Rational drug use
