| 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。 |
| 关键词: 磷酸肌酸钠 儿科 合理用药 |
| DOI：10.13407/j.cnki.jpp.1672-108X.2023.08.007 |
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| 基金项目: |
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| Effect Evaluation of Pharmacists ’ Intervention on Key Monitoring of Creatine Phosphate Sodium in Pediatrics |
| 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) |
| Abstract: |
| 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 theproblems 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. |
| Key words: creatine phosphate sodium pediatrics rational drug use |
