中山大学附属第一医院静脉药物配置中心输液医嘱点评与分析  

Review and Analysis on Medical Orders in Pharmacy Intravenous Admixture Service in the First Affiliated Hospital of Sun Yat-sen University

作　　者：邓蓉蓉[1] 曹媛[1] 黄凯鹏[1] 陈攀[1] 

机构地区：[1]中山大学附属第一医院药学部,广东广州510080

出　　处：《中国医院用药评价与分析》2016年第8期1129-1131,共3页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：国家自然科学基金青年项目(No.81503156)

摘　　要：目的:了解静脉药物配置中心输液医嘱的情况,促进合理用药,保障临床用药安全性。方法:对中山大学附属第一医院(以下简称"我院")2014年9月—2015年8月静脉药物配置中心审核的1 144 800份输液医嘱进行点评与分析。结果:1 144 800份输液医嘱中,不合理医嘱522份,医嘱不合理率为0.05%。522份不合理医嘱主要来自心脏外科(43份,占8.24%)和普通内科(33份,占6.32%);不合理类型主要为药物浓度不适宜(228份,占43.68%)、溶剂不适宜(98份,占18.77%)、药物配伍不适宜(87份,占16.67%)、用法与用量不适宜(71份,占13.60%)等。静脉药物配置中心药师及时与医师核准,使不合理医嘱得到了及时有效的更改,保障了患者按时用药。结论:我院静脉药物配置中心药师对输液医嘱进行点评,能及时发现并纠正不合理情况,提高了静脉用药的安全性和有效性。OBJECTIVE：To investigate the status of medical orders in pharmacy intravenous admixture service, and to promote rational drug use, so as to ensure the application safety of drugs in clinic. METHODS： 1 144 800 medical orders from pharmacy intravenous admixture service in the First Affiliated Hospital of Sun Yat-sen University （hereinafter referred to as ＂our hospital＂） from Sept. 2014 to Aug. 2015 were reviewed and analyzed. RESULTS： Of the 1 144 800 medical orders, 522 were irrational, the irrational rate was 0. 05%, mostly in cardiac surgery department（43 cases, 8.24% ） and general medicine department（33 cases, 6.32% ）, the main types were： improper drug concentration（228 cases, 43.68% ）, improper selection of solvent type （98 cases, 18.77% ）, improper drug compatibility（87 cases, 16.67%）, improper usage and dosage （71 cases, 13. 60%）, etc.. CONCLUSIONS： Through reviewing medical orders in pharmacy intravenous admixture service, the pharmacists could discover and correct the irrational medication orders timely, and improve the effectiveness and safety of intravenous drug use.

关 键 词：静脉药物配置中心 医嘱点评 合理用药 

分 类 号：R97[医药卫生—药品]