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目的:研究医嘱处置表对医院使用PASS系统的影响并对PASS系统的科学性作进一步的评论。方法:在PASS系统中镶嵌医嘱处置表,在全院临床科随机选择4个科室为试验组,另4个科室为对照组。药师在药师工作站通过网络系统对所有用药医嘱进行统计分析。结果:使用医嘱处置表的科室纵向比较“潜在不合理用药问题”的发生率平均下降了63.71%,与对照组未使用医嘱处置表的科室横向比较平均下降了57.35%。结论:医嘱处置表的使用进一步证明了PASS系统的科学性, 提高了临床医生对PASS系统的认识,使临床用药更加合理。但医生在处置选择中存在不认真的现象,纠正不合理用药的任务仍然很艰巨。
OBJECTIVE: To study the impact of the doctor’s prescription disposal form on the hospital’s use of the PASS system and to make further comments on the scientific nature of the PASS system. Methods: In the PASS system inlaid medical orders disposal table, in the hospital clinical departments randomly selected four sections as the experimental group, the other four sections as the control group. Pharmacists in the pharmacist workstation through the network system for all medication orders for statistical analysis. Results: The average rate of “potential unreasonable drug use” in departments comparing with the order of prescription reduction decreased by 63.71% on average, and decreased by 57.35% compared with that in the control group without using the order of prescription. Conclusion: The use of the doctor ’s order disposal form further proves the scientific nature of the PASS system and enhances the clinician’ s understanding of the PASS system and makes clinical medication more reasonable. However, the doctors are not serious about the choice of treatment. The task of correcting irrational drug use is still arduous.