首页|依达拉奉右莰醇合理性评价标准的建立及应用

依达拉奉右莰醇合理性评价标准的建立及应用

Creation of an evaluation criterion for the rational use of edaravone dexborneol and its application

扫码查看
目的 通过属性层次模型分析评价安徽医科大学附属亳州医院依达拉奉右莰醇的临床应用情况,为医院的合理用药提供参考.方法 参照依达拉奉右莰醇说明书、相关指南及专家共识,制定依达拉奉右莰醇药物利用评价标准.采用属性层次模型法对 2022 年 6~12 月我院 190 例应用依达拉奉右莰醇的患者病历进行药物分析评价,针对评价发现的问题进行药学干预,对 2023 年 1~6 月使用依达拉奉右莰醇的 190 份归档病历进行再评价.结果 2022 年 6~12 月依达拉奉右莰醇的主要不合理用药问题依次是用药监护(190 份,100%)、用法用量(98 份,51.58%)、疗程(62 份,32.63%),19 例(10%)患者病历评分≥90 分(优秀),32 例(16.84%)患者病历评分 80~89 分(良好),97例(51.05%)患者病历评分 60~79 分(合格),42 例(22.11%)患者病历评分(MRS)<60 分(不合格).病历合格率为51.05%.经药学干预,2023 年 1~6 月依达拉奉右莰醇的主要不合理用药问题显著降低,病历合格率由 51.05%提高到73.16%(P<0.05).结论 我院依达拉奉右莰醇临床应用不合理情况较多,经临床药师干预沟通,病历合格率得到提高.属性层次模型法药物利用评价操作简单,评价结果直观,在临床用药中可以发挥一定作用.
Objective To analyze the clinical application of edaravone dexborneol in Bozhou Hospital Affiliated to Anhui Medical University based on the attribute hierarchical model,and to provide references for the rational drug use in our hospital.Methods According to the instruction manual of edaravone dexborneol,relevant guidelines and expert consensus,an evaluation criterion for the rational use of edaravone dexborneol was established.The attribute hierarchy model(AHM)method was used to analyze and evaluate the medical records of 190 patients who received edaravone dexborneol in our hospital from June 2022 to December 2022.Pharmaceutical interventions were carried out for the problems found by the evaluation criterion.A total of 190 archived medical records using edaravone dexborneol from January to June 2023 were re-evaluated.Results From June 2022 to December 2022,the main irrational use problems of edaravone dexborneol were medication monitoring(190 cases,100%),usage and dosage(98 cases,51.58%),course of treatment(62 cases,32.63%).There were 19(10%),32(16.84%),97(51.05%)and 42(22.11%)cases of the Medical Record Score(MRS)grading≥90 points(excellent),80-89 points(good),60-79 points(fair)and<60 points(unqualified),respectively.The qualified rate of medical records was 51.05%.After pharmaceutical intervention,the main irrational drug use problems of edaravone dexborneol decreased significantly from January to June 2023,and the qualified rate of medical records increased from 51.05%to 73.16%(P<0.05).Conclusion There are many irrational cases in the clinical application of edaravone dexborneol in our hospital.Through the intervention and communication of clinical pharmacists,reasonable rate of medical record has been improved.The AHM method of drug utilization evaluation is simple and intuitive,and can play a certain role in clinical drug use.

attribute hierarchy modeledaravone dexborneoldrug utilization evaluation

孙璐璐、夏茹楠、袁强强、孙明明、梁海

展开 >

236800 安徽省亳州市人民医院药学部

236800 安徽省亳州市人民医院康复针灸科

属性层次模型 依达拉奉右莰醇 药物利用评价

亳州市人民医院院级科研项目

By202110

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(10)
  • 22