住院药房医嘱摆药中存在的问题及其解决办法  

Problems and Resolutions of Medical Orders Dispensing in the Inpatient Pharmacy

作　　者：李辉[1] 赵锦欢[1] 林伟斌[1] 季波[1] 赵树进[1] 

机构地区：[1]广州军区广州总医院药剂科,广州市510010

出　　处：《中国药房》2011年第45期4258-4260,共3页China Pharmacy

摘　　要：目的:为优化住院药房医嘱摆药工作提供参考。方法:围绕住院药房医嘱摆药,通过对医嘱摆药系统常见问题及与医师、护士、药师有关的医嘱摆药常见问题进行分析,并提出解决办法。结果与结论:住院药房实行中心摆药,方便了临床,提高了工作效率,但仍存在各方面问题,如医嘱摆药系统方面存在药品计价失败导致无法保存等问题,医师方面存在医嘱意愿与患者实际用药不符、长期医嘱执行时间不详等问题,护士方面存在非药疗项目选择药疗等问题,药师方面存在医嘱摆药系统时间选择有弊端、医嘱摆药系统不识别部分执行时间等问题。在实际工作中,医、药、护人员应加强沟通,针对性解决上述问题;而药师的临床药学专业实践能力也应进一步提高。OBJECTIVE： To provide reference for optimizing medical orders dispensing in the inpatient pharmacy. METHODS： The problems of medical orders dispensing and those associated with physicians, nurses and pharmacists were analyzed and some resolutions were put forwards. RESULTS ＆ CONCLUSIONS： Centralized dispensing in the inpatient pharmacy provides convenience for the clinic and improves work efficiency. There are many problems in various aspects, such as drug valuation failure in medical orders dispensing system aspect; drug use of patients being inconsistent with medical orders, unclear implementing time of long-term medical orders in physician aspect; choosing drug therapy for non-drug therapy item in nurse aspect; disadvantage in time selection of medical orders dispensing system, operating time of medical orders dispensing system for unrecognized parts in pharmacist aspect. It is suggested to strengthen communication among physicians, pharmacists and nurses to resolve above problems. The professional practical ability of pharmacists should be further improved.

关 键 词：住院药房 医嘱 摆药 问题 解决 

分 类 号：R952[医药卫生—药学]