Analysis of Pre-Review and Intervention of 32 512 Medical Orders of Chinese Patent Medicine in All Wards of Beijing Friendship Hospital,Capital Medical University in 2020
WANG Shuhua, MA Zhijie, ZHAO Kuijun, et al. Analysis of Pre-Review and Intervention of 32 512 Medical Orders of Chinese Patent Medicine in All Wards of Beijing Friendship Hospital,Capital Medical University in 2020[J]. 2021,21(8):1010-1013.
WANG Shuhua, MA Zhijie, ZHAO Kuijun, et al. Analysis of Pre-Review and Intervention of 32 512 Medical Orders of Chinese Patent Medicine in All Wards of Beijing Friendship Hospital,Capital Medical University in 2020[J]. 2021,21(8):1010-1013. DOI: 10.14009/j.issn.1672-2124.2021.08.027.
OBJECTIVE: To investigate the pre-review and intervention of medical orders of Chinese patent medicine in all wards of Beijing Friendship Hospital
Capital Medical University( hereinafter referred to as “our hospital”)
so as to reduce clinical medication errors and unnecessary drug repercussion and ensure the safety of clinical medication. METHODS: In 2020
totally 32 512 medical orders of Chinese patent medicine were pre-reviewed in all wards of our hospital
and irrational medical orders were summarized and analyzed. RESULTS: In 2020
of the32 512 medical orders of inpatient ward medication and discharge medication in our hospital
356 were wrong medical orders( 1. 09%)
mainly for orthopedic rheumatism wards
tumor wards and urology wards. Among the 356 wrong medical orders of Chinese patent medicine
there were 183 wrong medical orders( 51. 40%)
which were mainly manifested as long-term medical orders; there were 173 medical orders for off-label drug use( 48. 60%)
including offlabel single dose
wrong medication frequency
off-label dose of the total number of medical orders and off-label dose of discharge medication
mainly involving drugs such as Maren soft capsules and Ganmao Qingre granules.CONCLUSIONS: Clinical pharmacists play an important role in ensuring the safety of clinical medication
while the professional level of clinical pharmacists themselves needs to be improved. Meanwhile
clinicians should strengthen the understanding of Chinese patent medicine dosage form
and the improvement of cognition for clinicians to drug instructions is an important measure to ensure the safety of clinical drug use.
关键词
用药医嘱前置审核病房用药中成药干预分析用药安全
Keywords
Pre-review of medical ordersMedication for inpatientsChinese patent medicineIntervention analysisMedication safety