中国药房2024，Vol.35Issue(10)：1266-1270,5.DOI:10.6039/j.issn.1001-0408.2024.10.20
北京市属医院住院医嘱点评审核工作现状调查与分析
Investigation and analysis of the review and comment on inpatient medical orders in Beijing municipal hospitals
摘要
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 software,and promote rational drug use among hospitalized patients through doctor-pharmacist collaboration.关键词
医嘱审核/医嘱点评/药师/合理用药Key words
medical order review/medical order comment/pharmacists/rational drug use分类
医药卫生引用本文复制引用
所伟,王悦,陈亮,张兆琦,古浩璁,罗小军,王文凤..北京市属医院住院医嘱点评审核工作现状调查与分析[J].中国药房,2024,35(10):1266-1270,5.基金项目
北京市医院管理局临床医学发展专项"扬帆"计划(No.ZYLX201805) （No.ZYLX201805）
