新西兰一家教学医院的催眠药物处方与使用情况

Hypnotic drug prescribing and consumption in a New Zealand teaching hospital.

作者信息

Maling T J, Moon P A

出版信息

N Z Med J. 1983 Sep 28;96(740):730-3.

Abstract

The relationship between hypnotic drug choice and consumption was investigated with respect to eight variables for eight of the most commonly prescribed hypnotics in Wellington Hospital. The overall prescribing rate was 27% but the dispensing rate was 89.1%, attributable to the high incidence of PRN charting. Consumption of hypnotics increased with increasing patient age and duration of hospital stay. Consumption was higher for medical compared to surgical patients. Drug choice, ward preference and prescribing rate did not influence consumption, highlighting the fundamental discretionary role of the nurse-dispenser, determining the level of consumption.

摘要

针对惠灵顿医院最常处方的八种催眠药，就八个变量对催眠药的选择与使用量之间的关系进行了调查。总体处方率为27%，但配药率为89.1%，这归因于按需开方的高发生率。催眠药的使用量随患者年龄和住院时间的增加而增加。内科患者的使用量高于外科患者。药物选择、病房偏好和处方率并不影响使用量，这突出了护士配药人员在决定使用量水平方面的基本自由裁量作用。