Evaluation of application rationality of Papaverine Hydrochloride Injection
Objective To establish the rationality evaluation criteria of Papaverine Hydrochloride Injection,and evaluate the rationality of the clinical use of Papaverine Hydrochloride Injection.Methods Based on the instructions for Papaverine Hydrochloride Injection,domestic and international guidelines,and expert consensus,the rationality evaluation standard was developed to evaluate the discharge medical records of 260 patients using Papaverine Hydrochloride Injection in Bozhou People's Hospital from January to December 2023.Results Among the 260 medical records,84 cases(32.31%)were reasonable(Ci≥0.8),67 cases(25.77%)were basically reasonable(0.6≤Ci＜0.8),and 109 cases(41.92%)were unreasonable(Ci＜0.6).The main unreasonable problems were manifested in 73 cases(28.08%)of medication without indication,86 cases(33.08%)of inappropriate dosage,31 cases(11.92%)of excessive use of treatment course,9 cases(3.46%)of inappropriate choice of solvent,and 129 cases(49.62%)of drug interactions.Conclusion It is feasible to evaluate Papaverine Hydrochloride Injection based on the weighted TOPSIS method,and the results indicate that there are more unreasonable uses in Bozhou People's Hospital.The hospital should strengthen the management of unreasonable use of drugs to ensure rational use in clinic.
Papaverine Hydrochloride Injectionweighted TOPSIS methodevaluation criteriarational drug usemedication without indicationinappropriate dosage
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