Drug Use in 2 392 Oncology Medical Records Based on PCNE Classification

HU Lyuping; JIANG Yunda; YANG Zhongying; XU Bin; DENG Guisheng

doi:10.14009/j.issn.1672-2124.2021.11.023

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Drug Use in 2 392 Oncology Medical Records Based on PCNE Classification

更新时间：2022-10-08

- Drug Use in 2 392 Oncology Medical Records Based on PCNE Classification
- Vol. 21, Issue 11, Pages: 1383-1387(2021)
- 作者机构：
  
  1. 新华医院崇明分院药剂科
  2. 新华医院崇明分院呼吸科
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2021.11.023
  CLC： R95
- Published：2021，
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HU Lyuping, JIANG Yunda, YANG Zhongying, et al. Drug Use in 2 392 Oncology Medical Records Based on PCNE Classification. [J]. 21(11):1383-1387(2021)
DOI：

HU Lyuping, JIANG Yunda, YANG Zhongying, et al. Drug Use in 2 392 Oncology Medical Records Based on PCNE Classification. [J]. 21(11):1383-1387(2021) DOI： 10.14009/j.issn.1672-2124.2021.11.023.

摘要

目的:了解新华医院崇明分院(以下简称"我院")肿瘤科药物使用情况

为提高临床合理用药水平提供参考。方法:运用欧洲医药保健网(pharmaceutical care network Europe

PCNE)分类系统

分析2020年我院肿瘤科2 392份病历中药物不合理使用情况。结果:2020年我院肿瘤科出院病历共2 392份

其中348份病历发生药物相关问题(drug related problem

DRP)

占14.55%。共发生DRP 392例次

参考PCNE分类系统

DRP问题类型方面

"治疗效果""治疗安全性"和"其他方面"的DRP例次数及占比分别为92例次(占23.47%)、146例次(占37.24%)和154例次(占39.29%); DRP原因类型方面

例次数及占比排序居首位的为"药物选择"(253例次

占64.54%)

其次为"剂量选择"(87例次

占22.19%); 2020年1—12月我院肿瘤科DRP发生率呈降低趋势。结论:通过PCNE分类法分析总结

发现我院肿瘤科的药物使用存在一定的问题

临床药师仍需加强对抗肿瘤药的审核和干预

促进临床合理用药。

Abstract

OBJECTIVE: To investigate the drug use in oncology department in Chongming Branch of Xinhua Hospital（ hereinafter referred to as “our Hospital”）

so as to provide reference for improving the rational drug use in clinic. METHODS: According to the Pharmaceutical Care Network Europe（ PCNE） classification system

the irrational use of drugs in 2 392 medical records of oncology department in our hospital in 2020 was analyzed. RESULTS: In2020

there were 2 392 medical records discharged from oncology department

of which 348 medical records had drug related problem（ DRP）

accounting for 14. 55%. A total of 392 case-times of DRP occurred

and with reference to the PCNE classification system

the number and percentage of DRP for Treatment Effectiveness

Treatment Safety and Other Aspects were 92 case-times（ 23. 47%）

146 case-times（ 37. 24%） and 154 case-times（ 39. 29%）

respectively. In terms of the causes of DRP

the number of case-times and the percentage of causes for “drug selection”（ 253 case-times

64. 54%） took the lead

followed by “dose selection”（ 87 case-times

22. 19%）. From Jan. to Dec. 2020

the incidence of DRP in oncology department of our hospital showed the decreasing trend.CONCLUSIONS: Through the analysis and summary of PCNE classification

it is found that there are certain problems in drug use in oncology department of our hospital

and clinical pharmacists still need to strengthen the review and intervention of anti-tumor drugs to promote the rational drug use.

关键词

合理用药PCNE临床药师医嘱审核药物相关问题

Keywords

Rational drug usePCNEClinical pharmacistsMedical orders reviewDrug related problems

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