我院静脉药物调配中心不合理医嘱分析  

Analysis of the prescriptions in pharmacy intravenous admixture services

作　　者：荆颖[1] 黄淑萍[1] 王倩[1] 张永进[1] 

机构地区：[1]天津市海河医院,天津300350

出　　处：《天津药学》2012年第1期40-42,共3页Tianjin Pharmacy

摘　　要：目的:了解静脉药物调配中心医嘱审核的情况及医嘱单的合理性。方法:汇总所有在日常工作中记录的不合理医嘱信息,根据参考资料及药品说明书,分析不合理医嘱的种类及科室分布。结果:在所有近70万张输液处方中,记录不合理医嘱496条,主要包括溶媒选择不当、药物浓度不当、配伍禁忌、给药频次不当、医嘱录入错误等方面;脑系科、呼吸科分别排在各科不合理医嘱数的第一名和第二名。结论:药师需提高药学服务的质量,配合临床,提高患者静脉用药的安全性。Objective： Acquaintance rationality of allocation medicine is formulated investigating irrationgal prescriptions of in- travenous. Methods： collect all the information from record of daily work to analyse the unreasonable prescriptions according to pharmacological knowledge and literatures by consulting reference data and prospectus Results： 496 pieces of unreasonable pre- scriptions were found from nearly 7 millons prescriptions , involving problems in improper choice of infusion carders, unsuitable concentration, incompatibility, improper interval of drug administration and erroneous advising. With the intervention measures method, the rate of irrational prescriptions were reduced. The first two of all sections are centrencephalic and breath section. Con- clusion ： It is important for the pharmacist to command special field technical to intense unio building - up use medicine with clinical further to improve the safety of patients？ use of intravenous drugs by the daily work.

关 键 词：静脉药物调配中心 合理用药 医嘱审核 药师 

分 类 号：R969.3[医药卫生—药理学]