我院2012年12月-2013年6月住院患者抗肿瘤药物静脉配置不合理用药医嘱分析  

Analysis of Unreasonable Medical Order of Antitumor Drugs in the Inpatients of Our Hospital from Dec. 2012 to Jun. 2013

作　　者：马小花[1] 郭小冬[1] 刘兰萍[1] 武新安[1] 

机构地区：[1]兰州大学第一医院,兰州730000

出　　处：《中国药房》2014年第22期2037-2039,共3页China Pharmacy

摘　　要：目的:对我院抗肿瘤药物静脉配置不合理医嘱情况进行调查分析,为临床抗肿瘤药物安全、有效、合理用药提供参考。方法:依据药物说明书等资料对我院2012年12月-2013年6月住院患者审配的9 180份静脉用药医嘱进行人工审核,将反馈并记录的不适宜性医嘱95份进行了整理分析。结果:我院各科室均存在静脉配置用药不合理情况,最严重为妇科(24.21%),其次为普外科(18.95%);不合理医嘱类型主要表现在溶媒种类(41.05%)、溶媒用量(34.74%)、给药剂量(15.79%)以及其他方面(8.42%)。结论:药师通过定期分析、总结,及时反馈临床抗肿瘤药物应用中存在的问题,并以提示单的形式或不合理医嘱的汇总形式与各病区沟通;同时提高审方能力,建立合理用药规范,从而避免或减少药品不良反应甚至用药事故的发生,确保抗肿瘤药物的安全合理使用。OBJECTIVE： To investigate and analyze irrational medical order of antitumor drugs in our hospital, and to provide reference for the safe, effective and rational use of anti-tumor drugs in the clinic. METHODS： 9 180 intravenous prescriptions for inpatients in our hospital during Dec. 2012--Jun. 2013 were checked manually according to drug package insert, and 95 unsuitable medical orders were fed back and recorded. RESULTS： Intravenous drug use was unreasonable in clinical departments of our hospital, especially in department of gynecology （24.21% ）, followed by the department of general surgery （ 18.95 % ） ; the irrational medical orders were mainly reflected in fields of solvent type （41.05%）, solvent amount （34.74%）, drug dosage （15.79%） and other problems （8.42%）, etc. CONCLUSIONS： Through regular analysis and the summary, the problems of intravenous administration in the clinic could be attached to timely management, the communication between wards and pharmacists in the hint or the summary form of unreasonable orders can avoid or reduce adverse drug reaction or accidents of drug use, in order to guarantee the safety of drug use.

关 键 词：静脉配置中心 抗肿瘤药 不适宜用药 

分 类 号：R979.1[医药卫生—药品] R969.3[医药卫生—药学]