ABSTRACT
OBJECTIVE:To understand the rationality of proton pump inhibitors (PPI) in our hospital during perioperative period,in order to provide reference for rational use of drugs in clinical practice. METHODS:Through randomly collecting discharge cases of surgical system of May and Dec. in 2015 from Hospital Information System,the use of PPI during perioperative period was investigated retrospectively,and the rationality of drug use was evaluated. RESULTS:Among 522 cases,418 cases were given PPI for preventing stress ulcer during perioperative period,with utilization rate of 80.1%. Among them,the top three were neurosurgery,orthopedics and general surgery (100%,92.6% and 92.3% respectively). Pantoprazole and lansoprazole (72.5%,14.8%,respectively) were the top two categories of the use of PPI. The irrational utilization rate of PPI was 70.8%during perioperative period. In the top three,the number of drugs was exceeded,the drug was not used,course of treatment was too long (73.7%,64.1% and 62.4% respectively). CONCLUSIONS:The utilization rate of PPI prevention is higher in the department in our hospital during perioperative period,and there is unreasonable situation in some preventive drugs,and the measures need to be implemented and strengthened.
ABSTRACT
OBJECTIVE:To construct evaluation system for rational use of anti-tumor drugs and evaluate the effects. METH-ODS:Based on medical records of 1 927 malignant tumor patients in our hospital during Jan.-Oct. 2014,the study adopted Delphi method to determine the evaluation indexes. Referring to foreign and domestic authoritative guidelines,related literatures and drug package inserts,according to evidence-based pharmacy method,the evaluation system for rational use of anti-tumor drugs in our hospital was established from 6 aspects such as chemotherapy plan,drug dose,drug pretreatment,solvent selection,drug concen-tration,dosing frequency. The tumor patients receiving chemotherapy were selected from our hospital in May(pre-intervention group,98 cases)and Dec.(post-intervention group,87 cases)in 2015,the special comment was conducted by using above sys-tem. The utilization of anti-tumor drugs was compared between 2 groups before and after intervention. RESULTS:The unreason-able utilization rate of anti-tumor drugs was 62.2% in pre-intervention group and 29.9% in post-intervention group;the unreason-able rates of drug dose,drug pretreatment,drug concentration and chemotherapy plan decreased from 30.6%,21.4%,8.2%, 6.1% to 12.6%,6.9%,4.6%,2.3%,respectively,with statistical significance(P<0.05). Irrational solvent selection and dosing frequency had not been improved significantly,without statistical significance(P>0.05). CONCLUSIONS:The establishment of evaluation system for rational use of anti-tumor drugs can improve irrational use of anti-tumor drugs. It is certainly feasible and can provide reference for clinical pharmacists standardizing clinical use of anti-tumor drugs.
ABSTRACT
OBJECTIVE:To construct evaluation system for rational use of anti-tumor drugs and evaluate the effects. METH-ODS:Based on medical records of 1 927 malignant tumor patients in our hospital during Jan.-Oct. 2014,the study adopted Delphi method to determine the evaluation indexes. Referring to foreign and domestic authoritative guidelines,related literatures and drug package inserts,according to evidence-based pharmacy method,the evaluation system for rational use of anti-tumor drugs in our hospital was established from 6 aspects such as chemotherapy plan,drug dose,drug pretreatment,solvent selection,drug concen-tration,dosing frequency. The tumor patients receiving chemotherapy were selected from our hospital in May(pre-intervention group,98 cases)and Dec.(post-intervention group,87 cases)in 2015,the special comment was conducted by using above sys-tem. The utilization of anti-tumor drugs was compared between 2 groups before and after intervention. RESULTS:The unreason-able utilization rate of anti-tumor drugs was 62.2% in pre-intervention group and 29.9% in post-intervention group;the unreason-able rates of drug dose,drug pretreatment,drug concentration and chemotherapy plan decreased from 30.6%,21.4%,8.2%, 6.1% to 12.6%,6.9%,4.6%,2.3%,respectively,with statistical significance(P<0.05). Irrational solvent selection and dosing frequency had not been improved significantly,without statistical significance(P>0.05). CONCLUSIONS:The establishment of evaluation system for rational use of anti-tumor drugs can improve irrational use of anti-tumor drugs. It is certainly feasible and can provide reference for clinical pharmacists standardizing clinical use of anti-tumor drugs.