Rationality evaluation of postoperative use of Dizocine Injection based on hierarchical attribute model
Objective To establish rational evaluation standard of postoperative use of Dizocine Injection,and the unreasonable drug use was analyzed to provide a reference for the rational clinical application of this drug.Methods To formulate the rational dosing evaluation system based on drug specification,expert recommendations,guidelines,and other relevant documents.The medical records of 252 patients with postoperative Dizocine Injection,who ranked the top 5 in department use frequency(DDDs)in Bozhou Hospital affiliated to Anhui Medical University from January to June 2023,were randomly selected,and the rationality of them was evaluated by attribute hierarchy model(AHM).Results Among the 252 medical records,103 excellent medical records(40.87% )had a medical record score(MRS)≥90,and 12 good medical records(4.76% )had a medical record score of 75≤MRS<90.There were 41 qualified medical records(16.27% )with 60≤MRS<75 scores,and 96 unqualified medical records(38.10% )with MRS<60 scores.The irrational type mainly showed no indication 48 times(28.40% ),usage and dosage 43 times(25.44% ),treatment course 36 times(21.30% ),special population 22 times(13.02% ),combined use 10 times(5.92% )and contraindication 5 times(2.96% ).Conclusion The evaluation method of Dizocine Injection for postoperative use formulated based on AHM method is feasible,and the evaluation results show that the situation of irrational use of Dizocine Injection for postoperative use in Bozhou Hospital affiliated to Anhui Medical University is poor.The hospital should further strengthen its medical order comments and medication management to improve the rationality of clinical use.
Dizocine Injectionreasonable applicationattribute hierarchical modelindicationsusage and dosagecourse of medication