肿瘤医院静脉药物配置中心静脉用药合理性分析  

Analysis of the Rationality of Intravenous Medication in PIVAS of Cancer Hospital

作　　者：顾玉红[1] 朱小红[1] 董梅[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院,哈尔滨150081

出　　处：《中国药房》2013年第30期2787-2790,共4页China Pharmacy

摘　　要：目的:了解我院静脉药物配置中心(PIVAS)静脉用药的安全性和有效性。方法:提取我院2011-2012年PIVAS配置的静脉医嘱共计4453236条,依据《中国药典》(2010年版)、《新编药物学》(17版)、《注射剂的临床安全与合理应用》及药品说明书中的用法、注意事项等,对其使用情况进行统计、分析。结果:临床药师共审核出不合理医嘱7545条,占总医嘱的0.169%。其中,溶媒选择不合理占0.018%,溶媒量不合理占0.015%,给药剂量不合理占0.030%,药物配伍不合理占0.027%,其他占0.079%。结论:药师利用PIVAS平台审核医嘱,可减少和避免不合理用药的发生,提高药物治疗的有效性和安全性。OBJECTIVE：To investigate the safety and effectiveness of intravenous medication in PIVAS of our hospital.METHODS：4 453 236 medical advices of intravenous medication by PIVAS were collected from our hospital during 2011-2012.The utilization of injection was analyzed statistically according to Chinese Pharmacopoeia （2010 edition）,New Pharmacology （17 edition）,Clinical Safety and Rational Use of Injection,usage and precautions,etc.RESULTS：Clinical pharmacists confirmed 7 545 unreasonable medical advices,accounting for 0.169% of all advices.Among them,irrational selection of solvent accounted for 0.018%;unreasonable quantity of solvent accounted for 0.015%;irrational compatibility accounted for 0.027% and others accounted for 0.079%.CONCLUSIONS：Pharmacists reviewing medical advices by PIVAS can reduce and avoid the unreasonable use of drugs and increase the effectiveness and safety of medication.

关 键 词：肿瘤医院 静脉药物配置中心 静脉用药 合理性 

分 类 号：R969.3[医药卫生—药理学] R287[医药卫生—药学]