摘要
目的:制定并实施针对儿科重点监控药品磷酸肌酸钠的干预方案,促进其在临床的合理使用。方法:收集我院2020年11月至2021年4月使用磷酸肌酸钠患儿的病历,抽取300份进行专项点评。针对点评中发现的问题,通过培训与宣教、加强医嘱审核与用药监护、建立药品领用审批流程进行干预。之后以同样方法抽取2021年5-10月病历300份,对比分析干预前后磷酸肌酸钠的用药情况。结果:药师干预后,全院磷酸肌酸钠的使用率由15.96%下降至4.84%,用药金额从351.65万元下降至134.44万元。35个住院科室中有33个部门的用药金额出现下降,其中16个科室未再使用该药品。磷酸肌酸钠用药合理率由62.33%提高至93.67%(P<0.05)。结论:培训与宣教、加强医嘱审核与用药监护、建立药品领用审批流程等举措能够促进磷酸肌酸钠的合理使用。
Objective:To formulate and implement the intervention regimen for the key monitoring of creatine phosphate sodium in pediatrics,so as to promote the rational use in clinic.Methods:Medical orders of pediatric patients received creatine phosphate sodium in our hospital from Nov.2020 to Apr.2021 were collected,and 300 medical orders were selected for special review.In view of the problems found in the review,intervention was carried out through training and education,strengthening the review of medical orders and medication monitoring,and establishing the approval process for drug use.And 300 medical orders from May to Oct.2021 were selected by the same method.The use of creatine phosphate sodium before and after intervention was compared and analyzed.Results:After pharmacists’intervention,the utilization rate of creatine phosphate sodium decreased from 15.96%to 4.84%,and the consumption sum decreased from 3.516,5 million yuan to 1.344,4 million yuan.Of the 35 inpatient departments,33 departments showed a decrease in the consumption sum,of which 16 departments did not use the drug anymore.The rational utilization rate of creatine phosphate sodium increased from 62.33%to 93.67%,the difference was statistically significant(P<0.05).Conclusion:The rational use of creatine phosphate sodium can be promoted through training and education,strengthening the review of medical orders and medication monitoring,and establishing the approval process for drug use.
作者
关玮伟
李英
史强
杜朝阳
魏京海
Guan Weiwei;Li Ying;Shi Qiang;Du Zhaoyang;Wei Jinghai(National Center for Children’s Health,Beijing Children’s Hospital,Capital Medical University,Beijing 100045,China)
出处
《儿科药学杂志》
CAS
2023年第8期24-27,共4页
Journal of Pediatric Pharmacy
关键词
磷酸肌酸钠
儿科
合理用药
creatine phosphate sodium
pediatrics
rational drug use
