某院静脉用药调配中心审方工作模式的转变及其成效分析  

Prescription checking work mode change and effect in pharmacy intravenous admixture service

作　　者：何争民 彭家志[1] 洪章烈 季文军[1] 钱珊[1] 

机构地区：[1]合肥市第二人民医院药学部,安徽合肥230011

出　　处：《安徽医药》2017年第7期1335-1338,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨静脉用药调配中心(PIVAS)审方工作模式转变的成效,促进静脉用药的安全、合理使用。方法在PIVAS逐步实施以计算机初步审方和药师人工二次审方为基础,审方药师协同护士和临床药师干预不合理处方的审方工作模式,对审方工作实施3年来(2013年7月—2016年6月)PIVAS拦截的不合理处方进行统计、分析。结果 PIVAS共拦截不合理处方926组,占总接收处方数量的0.039%;按年度统计,静脉用药不合理处方发生率从2013年7月—2014年6月的0.087%下降至2015年7月—2016年6月的0.016%,降幅达81.61%;按不合理处方类型统计,降幅最大的是配伍不合理处方,降幅达94.84%;按风险程度统计,高风险不合理处方降幅达91.87%;不合理处方发生率和高风险不合理处方发生率均显著下降,且差异有统计学意义(P<0.01)。结论 PIVAS审方工作模式可有效降低不合理处方发生率,规避不合理处方的安全隐患,显著提高静脉用药的合理使用水平,保障病人用药安全。Objective To explore the effect by changing the working mode of pharmacy intravenous admixture service （PIVAS） and to make venous transfusion safer and more rational.Methods Prescription checking mode was gradually implemented in which prescription-checking pharmacists cooperating with nurses or clinical pharmacists intervened in irrational prescription based on computer preliminary prescription-checking and pharmacist secondary prescription-checking in PIVAS.The article counted and analyzed the irrational prescriptions intercepted by PIVAS during the past three years （from July 2013 to June 2016） using that mode.Results Totally 926 groups of irrational prescriptions were intercepted from July 2013 to June 2016,accounting for 0.039% of total prescriptions.According to the annual statistics,the percentage of irrational prescriptions of intravenous drugs reduced from 0.087% between July 2013 and June 2014 to 0.016% between July 2015 and June 2016,with a decrease of 81.61%;according to the statistics of irrational prescription type.the decrease in the irrational prescriptions involving with prescribing errors was the most significant,up to a decrease of 94.84%;according to the degree of risk,high-risk irrational prescriptions decreased by 91.87%;the incidence of irrational prescription and high risk irrational prescription were all dropped significantly （P〈0.01）.Conclusions The mode of prescription-checking can effectively reduce the incidence of irrational prescriptions,avoid the potential risks of irrational prescriptions,significantly improve the rational use of intravenous drugs,and ensure the safety of patients.

关 键 词：静脉用药调配中心 处方审核 成效 合理用药 

分 类 号：R95[医药卫生—药学]