安徽医科大学第二附属医院静脉用药调配中心不合理用药医嘱分析  

Analysis on Irrational Medication Orders in Pharmacy Intravenous Admixture Service of the Second Affiliated Hospital of Anhui Medical University

作　　者：杨晶晶[1] 刘丽萍[1] 胡伟[1] 梁敏[1] 张茜[1] 

机构地区：[1]安徽医科大学第二附属医院药学部,安徽合肥230601

出　　处：《中国医院用药评价与分析》2016年第3期418-420,共3页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：安徽医科大学校级科研基金(No.2015xkj014)

摘　　要：目的:了解安徽医科大学第二附属医院(以下简称"我院")2011年1月—2014年3月静脉用药调配中心不合理用药医嘱情况,增强合理用药意识,提高合理用药水平。方法:对我院34个病区长期静脉用药医嘱进行药师和"合理用药审查软件"双重审核,主要审核内容包括浓度使用不当、溶剂选择不当、配伍禁忌、超剂量用药、重复用药等。结果:不合理用药医嘱共500条。其中,溶剂用量不当的有56条(占11.20%),溶剂选择不当的有86条(占17.20%),给药剂量不当的有36条(占7.20%),不合理药物配伍223条(占44.60%),其他(给药顺序不当或未成组发送等)53条(占10.60%)。结论:不合理药物配伍易增加不合理用药医嘱的发生几率,药师应特别加以重视,认真审核,提高临床合理用药水平。OBJECTIVE： To investigate the irrational medication orders in pharmacy intravenous admixture service（ PIVAS） of the Second Affiliated Hospital of Anhui Medical University（ hereinafter referred to as＂our hospital＂） from Jan. 2011 to Mar. 2014,so as to enhance the awareness of rational drug use and improve level of rational drug use.METHODS： Long-term medication orders of 34 wards in our hospital were checked by the pharmacists and Rational Drug Use Software. The check list mainly included improper concentration,irrational selection of solvent,drug incompatibility,excessive dosage and duplicate drug use,etc. RESULTS： There were 500 irrational medication orders,among which,56 cases were improper concentration（ 1. 20%）,86 cases were irrational selection of solvent（ 17. 20%）,36 cases were improper dosage（ 7. 20%）,223 cases were drug incompatibility（ 44. 60%）,53 cases were other causes（ 10. 60%）（ improper administration order or no group sending,etc.）. CONCLUSIONS： Irrational drug compatibility can increase the incidence of irrational medication orders,the pharmacists should check the medication orders carefully so as to improve rational drug use in clinic.

关 键 词：静脉药物调配中心 合理用药 分析 干预 

分 类 号：R969.3[医药卫生—药理学]