静脉药物配置中心对合理用药及临床药师培养的促进作用  

The promoting effect of pharmacy intravenous admixture services on training clinical pharmacists and rational use of medicines

作　　者：宋金波[1] 宋锦飞[1] 

机构地区：[1]复旦大学附属上海市第五人民医院药剂科,上海200240

出　　处：《药学服务与研究》2006年第3期222-225,共4页Pharmaceutical Care and Research

摘　　要：目的:探讨静脉药物配置中心(PIVAS)对临床药师培养和临床合理用药的促进作用。方法:统计医嘱共565 984组(每瓶输液为1组),其中不合理医嘱1 808组。完善不合理医嘱处理办法,多途径强化PIVAS对临床不合理用药的信息反馈及药师与医生的直接沟通。结果:采取新措施后,不合理医嘱的出现率由3.97‰下降到1.79‰,纠正率由21.4%上升到83.6%。PIVAS药师当场发现不合理医嘱率由27.56%提高到91.39%,医生对不合理医嘱的当天纠正率由16.29%提高到88.75%。结论:PIVAS可以作为临床药师培养基地,能有效促进临床合理用药。Objective： To explore the promoting effect of pharmacy intravenous admixture services （PIVAS） on training clinical pharmacists and rational use of medicines. Methods： One thousand eight hundred and eight irrational prescriptions were found in 565 984 prescriptions. The method of handling prescriptions with irrational drug use was improved. The information feedback from PIVAS and communication between clinical pharmacists and doctors were strengthened. Results： With the new method, the rate of irrational prescriptions was reduced from 3.97‰ to 1.79‰ and the correction rate was elevated from 21.4% to 83.6%. The rate of irrational prescriptions discovered by PIVAS pharmacists on the spot was increased from 27.56% to 91.39% and the rate of irrational prescriptions corrected by doctors on same day was increased from 16.29% to 88. 75 %. Conclusion： PIVAS plays an important role in training clinical pharmacists and improves the level of rational drug use in the hospital.

关 键 词：静脉药物配置 合理用药 临床药剂师 

分 类 号：R952[医药卫生—药学]