Page 120 - 《中国药房》2024年10期

北京市属医院住院医嘱点评审核工作现状调查与分析
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所 伟 1， 2＊ ，王 悦 ，陈 亮 ，张兆琦 ，古浩璁 ，罗小军 ，王文凤 （1.首都医科大学附属北京安贞医院药事部，
北京 100029；2.北京市医院管理中心药事处，北京 100053；3.首都医科大学附属北京朝阳医院物资器械
中心，北京 100043）
中图分类号 R952 文献标志码 A 文章编号 1001-0408（2024）10-1266-05
DOI 10.6039/j.issn.1001-0408.2024.10.20

摘 要 目的 调研北京市属医院住院医嘱点评审核工作现状，为进一步完善相关工作提出对策建议。方法 通过问卷调查法调
查北京22家市属医院的住院医嘱点评审核工作现状，对调查结果进行统计分析。结果 共发放问卷22份，问卷回收率和有效率均
为100%。22家医院均开展了住院医嘱点评工作，但各医院住院医嘱点评比例不尽相同（0.88%～98.54%）；点评药品主要集中在
抗菌药物、质子泵抑制剂、麻醉药品/第一类精神药品、辅助用药等品类；205名药师参加了住院医嘱点评工作，大部分具有中级及
以上职称（89.27%）；21家医院将住院医嘱点评结果向相关科室或责任人进行了反馈，但干预情况不尽相同。18家医院开展了住
院医嘱审核工作，审核的药品品类与医嘱点评药品品类大致相同，审核内容包括给药途径、给药剂量等的适宜性，主要采取审核软
件和药师人工配合的审核方式。结论 北京市属医院住院医嘱点评和审核工作有序开展，取得了初步成效；但也需要进一步提升
医嘱点评审核药师的工作能力、完善点评审核规范、优化审核软件，通过医药协同促进住院患者合理用药。
关键词 医嘱审核；医嘱点评；药师；合理用药

Investigation and analysis of the review and comment on inpatient medical orders in Beijing municipal
hospitals
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SUO Wei ，WANG Yue ，CHEN Liang ，ZHANG Zhaoqi ，GU Haocong ，LUO Xiaojun ，WANG Wenfeng 2
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（1. Dept. of Pharmaceutical Affair， Beijing Anzhen Hospital， Capital Medical University， Beijing 100029，
China；2. Pharmacy Office of Beijing Hospitals Authority， Beijing 100053， China；3. Material and Equipment
Center， Beijing Chaoyang Hospital， Capital Medical University， Beijing 100043， China）
ABSTRACT OBJECTIVE To investigate the current situation of the review and comment on inpatient medical orders in Beijing
municipal hospitals， and to put forward countermeasures and suggestions for further improving related work. METHODS A
questionnaire survey was conducted to investigate the current situation of the review and comment on inpatient medical orders in 22
Beijing municipal hospitals. The statistical analysis was conducted for the survey results. RESULTS A total of 22 questionnaires
were distributed， with recovery effective rate of 100%. The 22 hospitals carried out inpatient medical order comment， but their
proportion varied among hospitals （0.88%-98.54%）； medical order comment mainly focused on antibiotics， proton pump
inhibitors， anesthetic drugs/class Ⅰ psychotropic drugs， auxiliary drugs and other categories； 205 pharmacists participated in the
comment of inpatient medical orders， most of whom hold intermediate or higher professional titles （89.27%）； 21 hospitals
conducted inpatient medical order comment and feedback the results to relevant departments/responsible persons， but the
intervention situation was not the same. Eighteen hospitals had carried out the review of inpatient medical orders； reviewed drug
category was roughly the same as the category involved in the medical order comment； review content involved the suitability of
administration routes， dosage， etc. The review was conducted mainly through the cooperation of audit software and pharmacists.

CONCLUSIONS The comment and review of inpatient medical orders in Beijing municipal hospitals carried out in an orderly
manner， and preliminary results have been achieved； at the same time， it is necessary to further increase the ability of participating
pharmacists， improve audit standards， optimize pre-audit
Δ 基金项目 北京市医院管理局临床医学发展专项“扬帆”计划
（No.ZYLX201805） software， and promote rational drug use among hospitalized
＊第一作者 副主任药师，硕士。研究方向：临床药理、药事管理。 patients through doctor-pharmacist collaboration.
电话：010-64456505。E-mail：suowei_az@126.com KEYWORDS
# 通信作者 硕士。研究方向：药事管理、医政管理。电话：010- medical order review； medical order
55532431。E-mail：wangwenfeng@wjw.bj.gov.cn comment； pharmacists； rational drug use

· 1266 · China Pharmacy 2024 Vol. 35 No. 10 中国药房 2024年第35卷第10期