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目的分析解放军第一四九医院2015年度临床不合理用药情况。方法汇总本院2015年住院医嘱30000份中不合理用药情况,根据药品说明书及文献资料等进行分析。结果分别在联合用药不适宜(约占40%)、超剂量超频率给药(约占20%)、溶媒选择及配伍禁忌(约占30%)、医嘱用法不当(约占10%)等方面存在问题,但也有部分用药虽在说明书中未记载,但临床需要,仍属合理范畴。结论临床药师审核处方及医嘱在促进合理用药起重要作用,药师应主动与临床医师加强沟通,相互学习交流,及时将分析情况、结果反馈给临床,对不合理用药行为进行及时干预与提醒,共同促进药物合理使用,避免和减少药物不良反应的发生,更好地发挥临床药师在药物治疗中的作用,减少不合理用药事件发生。
Objective To analyze the clinical unreasonable drug use in the 149th Hospital of PLA in 2015. Methods To summarize the unreasonable drug use in 30,000 inpatient orders in our hospital in 2015, and to analyze according to the drug specification and literature. The results were unsuitable for combination therapy (about 40%), overdosage overdose (about 20%), solvent choice and incompatibility (about 30%), improper use of doctor’s advice (about 10%) and so on There are problems, but there are some drugs not described in the manual, but the clinical needs, is still a reasonable area. Conclusion Clinical pharmacists review prescriptions and orders in promoting the rational use of drugs play an important role, pharmacists should take the initiative to enhance communication with clinicians to learn from each other, timely analysis of the situation, the results of feedback to the clinical, irrational medication behavior timely intervention and reminder, common Promote the rational use of drugs to avoid and reduce the incidence of adverse drug reactions to better play the role of clinical pharmacists in drug treatment and reduce the incidence of irrational drug use.