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| Intervention effect analysis of clinical pharmacists on rational use of adjuvant drugs in orthopedic inpatients |
| LIN Xue-feng PAN Yan-ting |
| Clinical Pharmaceutics Room,Department of Pharmacy,Pingshan District People′s Hospital of Shenzhen City,Guangdong Province,Shenzhen 518118,China |
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Abstract Objective To analyze the interaction effect of clinical pharmacists on rational use of adjuvant drugs in orthopedic inpatients,and to promote the rational use of adjuvant drugs for orthopedic inpatients in our hospital.Methods The medical records of the orthopaedics department of our hospital from January to June 2017 (before the intervention) were selected,and the auxiliary medication orders were specially reviewed.The typical problems found were summarized and measures were taken to intervene.The hospital orders of orthopaedic auxiliary drugs from July to December 2017 (after the intervention) were collected and reviewed.The reasonable utilization rate of auxiliary drugs,the reasonable rate of indications,the reasonable rate of usage and dosage,the reasonable rate of solvent,the reasonable rate of course of treatment and the reasonable rate of combined drugs were used as inspection indicators.The changes of the above indicators before and after the intervention were analyzed,and whether there was statistical significance was analyzed,so as to evaluate the intervention effect.Results Before the intervention,489 medical records of orthopaedics patients were treated with adjuvant drugs,492 medical records of orthopaedics patients were treated with adjuvant drugs after the intervention.After the intervention,the reasonable utilization rate of drugs (85.37%),the reasonable rate of indications (93.09%),the reasonable rate of usage and dosage (95.93%),the reasonable rate of menstruum (93.90%),the reasonable rate of course of treatment (89.84%) and the reasonable rate of combined drugs (94.30%)were all higher than those before the intervention (41.72%,81.60%,83.23%,85.89%,83.64%,85.89%),respectively,with statistically significant differences (P＜0.05).Conclusion After the intervention of clinical pharmacists,the irrational use of auxiliary drugs for orthopedic inpatients in our hospital has been significantly improved,reducing the risks of clinical drug use and the economic burden of patients,and making drug use more rational.
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