我院2012年8月-2013年3月注射用盐酸头孢替安异常用药调查及干预

目的:探讨临床药师对异常使用药品的专项调查和干预这一促进临床合理用药的重要手段。方法:对我院2012年8月-2013年3月住院药房监测到的注射用盐酸头孢替安用量异常这一情况,进行异常时间研究、异常科室研究及用药合理性研究,并针对分析结果进一步与临床科室进行沟通干预。结果:我院部分科室大量选用注射用盐酸头孢替安预防用药,选药不合理;盐酸头孢替安单次给药剂量超量;预防用药时间普遍过长可能为导致住院药房注射用盐酸头孢替安异常增长的主要原因。经调查分析与沟通干预,使住院药房注射用盐酸头孢替安用量明显下降,并呈逐渐下降趋势。结论:临床药师通过与住院药房密切配合,对异常用量药物进行动态监测、超常预警、专项调查及干预,促进了我院合理用药工作的开展。

Intervention and Investigation of Abnormal Use of Cefotiam Hydrochloride for Injection of Our Hospital during Aug. 2012--Mar. 2013

OBJECTIVE： To explore the important means to promote clinical rational drug use for the clinical pharmacist to investigate and intervene in abnormal use of drugs. METHODS： The abnormal amount of Cefotiam hydrochloride for injection in the inpatient pharmacy of our hospital during Aug. 2012--Mar. 2013 were analyzed in terms of abnormal time, abnormal department and rational use of drug. The investigation results were further analyzed and intervened by clinical departments. RESULTS： Prophylactic application of Cefotiam hydrochloride for injection were most often used in some department of our hospital, and there were irrational selection of drugs. The single dose of Cefotiam hydrochloride for injection was excess; abnormal growth of Cefotiam hydrochloride for injection was mainly caused by too long preventive medication time. Based on survey results and communication to clinical departments, intervention played a certain effect, and Cefotiam hydrochloride for injection dosage decreased significantly and showed a gradual downward trend. CONCLUSIONS： Clinical pharmacists closely cooperate with the hospital pharmacy to monitor abnormal amount of drugs dynamically, extraordinary early warning, special investigation and intervention so as to promote the rational use of drugs in our hospital.