静脉用药调配中心不合理医嘱分析  

Analysis of Irrational Medical Advice in Pharmacy Intravenous Admixture Services

作　　者：徐晶[1] 虎亚光[1] 杨威虎[1] 李兰兰[1] 张福琴[1] 

机构地区：[1]甘肃省妇幼保健院,甘肃兰州730050

出　　处：《儿科药学杂志》2015年第4期39-41,共3页Journal of Pediatric Pharmacy

摘　　要：目的:通过对我院静脉用药调配中心的不合理医嘱进行统计分析,探讨促进合理用药的方法和途径。方法:参考药品说明书、《中国药典》(2010版)、《新编药物学》(17版)、《中国国家处方集》(2010版),对我院2013年11月至2014年4月共210 664条医嘱进行审核分析。结果:不合理医嘱共358条,不合理率0.17%。其中给药浓度不当共153条,占42.73%;溶媒选择不当共170条,占47.49%;给药频次不当共14条,占3.91%;给药途径不合理共9条,占2.51%;其他不合理情况共12条,占3.35%。结论:药师应该在不断加强自身业务能力的基础上,提高沟通技巧,同时善于利用最新药学信息为静脉用药提高合理化服务。Objective： To statistical analyze irrational medical advice of pharmacy intravenous admixture services for intravenous drug use in our hospital,and explore the method to promote the rational drug use. Methods： This study conducted a data analysis of 210,664 prescriptions in our hospital from November 2013 to April 2014. Dispensatory, Chinese Pharmacopoeia（ 2010 Edition）, New Pharmacology（ 17 Edition） and Chinese National Formulary（ 2010 Edition） were used for reference. Results： There were 358 irrational medical advices,accounting for 0. 17%. The main problems of these prescriptions were： improper drugs concentrations（ 153 items,42. 73%）,incorrect solvents（ 170 items,47. 49%）,interval of drug administration（ 14 items,3. 91%）,irrational administration route（ 9 items,2. 51%） and other unreasonable uses（ 12 items,3. 35%）. Conclusion： Pharmacists should constantly strengthen their major ability,improve communication skills and use the new pharmaceutical information service well to improve intravenous drug rationally.

关 键 词：静脉用药调配中心 合理用药 改善方法 

分 类 号：R954[医药卫生—药学]