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目的:探索临床药师在医嘱审核中的方法和作用。方法:设计调查表,对2011年11月~2012年10月临床药师参与审查的医嘱结果进行分析。结果:14 675名患者的178 724条医嘱中,应用抗菌药物的患者有3 232人,占审查医嘱总人数的22.0%,使用抗菌药物患者的医嘱中抗菌药物医嘱5 387条,占审查医嘱数的3.0%。发现并干预差错医嘱597条,干预成功率为100%。差错医嘱占审查医嘱总数的0.33%,主要为剂量差错、用法差错和重复用药差错。临床药师监护的重症患者,适应证差错和相互作用差错较普通病区患者多。结论:临床药师与病房药师共同参与医嘱审查工作,可提高医院药师队伍的整体素质,使合理用药工作持续发展,减少用药风险。
Objective: To explore the methods and effects of clinical pharmacists in the examination of doctor’s orders. Methods: The questionnaire was designed to analyze the results of the orders from clinical pharmacists who participated in the review from November 2011 to October 2012. Results: Out of 178 724 medical orders of 14 675 patients, 3 232 were antibacterials, accounting for 22.0% of the total number of medical examinations. Among them, 5 387 antibacterial medical orders were given to patients using antibacterial drugs, accounting for the number of examination orders Of 3.0%. 597 mistaken medical orders were found and interfered with a success rate of 100%. Error orders accounted for 0.33% of the total number of review orders, mainly for dose errors, usage errors and repeated medication errors. Clinical pharmacist custody of critically ill patients, indications error and interaction error more than normal ward patients. Conclusion: The participation of clinical pharmacists and ward pharmacists in the examination of doctor ’s orders can improve the overall quality of the hospital pharmacist team and ensure the rational development of drug use and reduce the risk of medication.