某院静脉用药调配中心抗肿瘤药物不合理医嘱分析  

Analysis of irrational prescriptions of antitumor drugs in pharmacy intravenous admixture service of a hospital

作　　者：赵欢[1] 吴志强[2] 王建华[2] 

机构地区：[1]新疆医科大学,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院,新疆乌鲁木齐830054

出　　处：《现代医药卫生》2013年第20期3074-3075,共2页Journal of Modern Medicine & Health

基　　金：新疆医科大学第一附属医院药学专项基金(2012YX02)

摘　　要：目的促进该院静脉用药调配中心抗肿瘤药物使用安全、有效,提高合理用药水平。方法根据法定药品说明书及《中华人民共和国药典临床用药须知——化学药和生物制品卷》(2010年版)等药学资料,对该院静脉用药调配中心抗肿瘤药物电子医嘱进行回顾性分析。结果该院抗肿瘤药物使用基本合理,不合理用药主要表现在溶媒选择不当(82.2%)、操作失误(8.8%)、规格选用不当(4.2%)、药物浓度超标(3.9%)及其他方面(0.9%)。结论经过逐月分析和总结,加强药师和临床的面对面沟通,定期向科室反馈不合理医嘱汇总情况,并加快信息系统的建设步伐,可有效提高合理用药率。Objective To promote the efficacy and safety of the medication of antitumor drugs use in pharmacy intravenous admixture service （PIVAS） of the hospital, and improve the level of rational use of drugs. Methods According to the legal drug instructions and Clinical Application Guidelines of China Pharmacopoeia. Volume of Pharmaceutical Chemicals and Biological Product （2010）, etc., to retrospectively analyze the electronic prescription of antitumor drugs in PIVAS of the hospital. Results The drug use of antitumor drugs of the hospital was basically reasonable, and the irrational drug use was mainly in the improper solvent （82.2%）, operation error （8.8%）, improper drug specification （4.2%）, high dosage or concentration （3.9%） and other problems （0.9%）. Conclusion After the monthly summary and analysis, reinforcing of the communication between the pharma cist and clinician, regular feedback of the collection of irrational prescriptions and accelerating the construction of information system can improve the rational use rate of drugs effectively.

关 键 词：注射 静脉内 药剂师 医师的作用 抗肿瘤药 

分 类 号：R969.3[医药卫生—药理学]