| 摘要: |
| 目的:促进医院产科中成药的合理应用,保障孕产妇及婴儿用药安全。方法:利用临床用药决策支持软件对某三甲医院产
科2022 年度开具的中成药处方进行系统自动点评筛选,对筛选出的问题处方再次进行人工点评,对处方存在的问题类型进行归纳
汇总,分析原因。结果:该院产科2022 年开具中成药处方(含住院医嘱) 共计14 886 张,系统智能筛选出问题处方3 987 张
(26. 78%),人工点评后确认存在用药不合理情况的处方199 张(1. 34%),其中不合理儿童药品处方19 张(9. 55%)。结论:该院产
科2022 年仍存在不合理使用中成药情况,医院需及时采取积极的干预措施,以保障产科用药规范合理,保障患者的安全。 |
| 关键词: 中成药 处方点评 儿童药品 合理用药 孕产妇 医院药学 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2024.08.006 |
|
| 基金项目:基金项目:四川省科技厅科技计划项目,编号2023NSFSC1535;四川省中医药管理局科研项目,川中医药办发〔2023〕7 号-410;南充市科技
局基金项目,编号22SXQT0091;川北医学院附属医院基金项目,编号2022JC010。 |
|
| Irrational Application of Chinese Patent Medicine in Obstetrics Department of a Grade Ⅲ, Level AHospital |
| Chen Guanghua1,2, Liu Hua1, Shu Bo1,2 |
| (1. Affiliated Hospital of North Sichuan Medical College, Sichuan Nanchong 637000,
China; 2. School of Pharmacy, North Sichuan Medical College, Sichuan Nanchong 637000, China) |
| Abstract: |
| Objective: To promote the rational application of Chinese patent medicine in Obstetric Department, and ensure the
medication safety for pregnant and postpartum women and infants. Methods: Clinical medication decision support software was
used to automatically review and screen the Chinese patent medicine prescriptions issued by Obstetrics Department of a grade Ⅲ,
·24· 儿科药学杂志 2024 年第 30 卷第 8 期 Journal of Pediatric Pharmacy 2024,Vol. 30,No. 8
level A hospital in 2022, the screened prescriptions were artificially re-evaluated. The types of problems in prescriptions were
summarized and the reasons were analyzed. Results: In 2022, totally 14,886 prescriptions of Chinese patent medicine (including
inpatient medical orders) were issued in Obstetrics Department of the hospital. And 3, 987 prescriptions ( 26. 78%) with
problems were screened out intelligently by the software, 199 prescriptions ( 1. 34%) with problems were confirmed to be
irrational after manual review. Among them, 19 were irrational prescriptions for children (9. 55%). Conclusion: There are still
some irrational application of Chinese patent medicine in Obstetric Department of the hospital in 2022. It is necessary for the
hospital to take active intervention measures in time to ensure the rational medication standards in Obstetric Department and the
safety of patients. |
| Key words: Chinese patent medicine prescription review children’ s drugs rational drug use pregnant and postpartum women hospital pharmacy |
