应用属性层次分析法加权TOPSIS法评价我院头孢西丁用药合理性

摘要

目的:评价我院头孢西丁用药合理性.方法:结合药物利用评价(DUE)建立头孢西丁合理性评价指标和评价标准,采用属性层次分析法(AHM)加权计算评价指标的相对权重,并运用TOPSIS的数据处理方法评价各病历医嘱与完全合理医嘱的距离,计算合理医嘱的比例,以评价用药合理性.结果:116份病历中合理病历占19.0%(包括完全合理的病历占4.3%,5份),基本合理病历占50.0%(58份),不合理病历占31.0%(36份).结论:运用AHM加权TOPSIS法对头孢西丁进行合理性评价是合理可行的.我院在头孢西丁的应用中基本合理,但仍存在较多问题.%OBJECTIVE:To evaluate the rationality of cefoxitin use in our hospital. METHODS:Evaluation index and evalua-tion criteria were established on the basis of DUE. The relative weight of evaluation index were calculated by using attribute-based AHM weight method,and the gas between medical orders and complete rational ones were evaluated by using TOPSIS processing method. The proportion of rational medical orders were calculated to evaluate the rationality of drug use. RESULTS:Among 116 medical records,there were 19%reasonable medical orders(including 4.3%complete reasonable medical orders,5 cases),50%ba-sically reasonable medical orders(58 cases)and 31% unreasonable medical orders(36 cases). CONCLUSIONS:It is reasonable and feasible to use AHM weighted TOPSIS method to evaluate the rationality of cefoxitin. The utilization of cefoxitin in our hospital is basically reasonable,but there are still many problems.