利用医院局域网开展临床合理用药监控初探

目的:开展临床合理用药监控,对存在的问题进行分析,提出合理化建议。方法:利用"军卫1号"工程局域网与"医院综合信息管理系统"构建的医信通平台,在线查阅我院2006年10月~2007年3月住院患者的电子病历、查房记录、治疗方案及相关检验报告,对医嘱中存在的不合理用药问题与临床医师进行网络沟通与交流。结果:临床存在重复用药及用法不当、剂量过大现象,部分联用存在药物不良相互作用;外科抗菌药物预防性应用不合理,主要表现在选药不当和疗程过长等方面。结论:应重视药物的相互作用,严格控制抗菌药物的联用指征和疗程,减少毒副作用和延缓耐药性的发生。

Monitoring Rational Clinical Use of Drugs in Hospital Using Local Area Network

OBJECTIVE： To monitor clinical rational use of drugs, analyze the problems involved and to put forward reasonable suggestions. METHODS： Using the platform of medical information communication established based on the ＂Military Medical Project No. 1＂ local area network and ＂Hospital Information Management System＂, the electronic medical records of the inpatients, ward round records, treatment plans and the relative laboratory test reports from October 2006 to March 2007 were retrieved online. The involved problems were discussed with clinical physicians through the network. RESULTS： The problems in the clinical drug use manifested as repeated medication, improper administration, overdoses and adverse interactions of combined drugs. The irrational prophylactic administration of antibiotics in the surgical department was characterized by improper choice of drugs and prolonged course of treatment etc. CONCLUSION： Great importance should be attached to drug interactions, and the indications for drug combination and course of treatment should be kept under tightly control so as to reduce adverse reactions and delay the onset of drug resistance.