外科药房静脉用药集中调配中心抗菌药物医嘱分析  

Medical order analysis of antibacterial drugs injection in Pharmacy Intravenous Admixture Services

作　　者：刘浩[1] 李金斌[1] 曹兵[1] 马琳[1] 韩乐[1] 刘再栋 柴栋[1] 

机构地区：[1]解放军总医院药品保障中心,北京100853

出　　处：《解放军医学院学报》2015年第2期178-180,共3页Academic Journal of Chinese PLA Medical School

基　　金：海南省社会发展基金项目(SF201340)~~

摘　　要：目的了解抗菌药物不合理用药情况,提高用药安全性、合理性、有效性。方法对外科药房静脉用药集中调配中心2013年全部抗菌药物不合理医嘱的常见问题进行审核、统计、分类和分析。结果不合理医嘱4 739条,主要不合理医嘱问题集中在给药剂量(50.66%)、药物溶媒(35.24%)、溶媒量(11.84%)、配伍禁忌(2.00%)、给药途径不适宜(0.26%)等问题。结论药师应通过医嘱审查联络信方式与临床科室沟通,为患者用药安全、合理把好关。Objective To learn about the status of rational antibacterial drug use and improve the safety, rationality and efficacy of drug use in pharmacy. Methods All unreasonable prescriptions of antibacterial drugs injection in Pharmacy Intravenous Admixture Services （PIVAS） in 2013 were collected, audited, classified and analyzed. Results There were .4 739 unreasonable prescriptions in total, and the major problems were focused on dosage （50.66%）, drug solvent （35.24%）, solvent quantity （11.84%）, incompatibility （2.00%）, and inappropriate route of administration （0.26%） and so on. Conclusion Pharmacists can communicate with the doctors in clinical departments through liaison letters and then guarantee the quality drug use for the safety and rationality of patients.

关 键 词：药物监测 抗菌药物 合理用药 

分 类 号：R954[医药卫生—药学]