静脉配置药物不合理用药情况研究  

A study on irrational application of intravenous drugs

作　　者：林鸿滨[1] 梅花[1] 郑荣杰[1] 

机构地区：[1]广东省第二人民医院,广东广州510317

出　　处：《中医临床研究》2018年第9期131-132,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨静脉配置药物不合理用药情况研究。方法:收集2014年10月-2017年10月我院静脉药物配置中心的54000张处方,统计记录有静脉配置药物不合理的处方数,被干预的处方数,分析不合理用药的表现。结果:54000张处方中,静脉配置药物不合理的处方有2241张,占4.15%,而被干预的处方有2095张,占所有不合理处方的93.49%;不合理的类型包括配伍不合理、给药方式不对、重复给药、剂量不合理等。被干预的不合理处方主要为联合用药、配伍禁忌、配伍溶媒、给药频次、给药途径、超剂量使用等。结论:我院总体静脉配置药物不合理用药情况发生率较低,通过药师的处方审核能有效拦截不合理处方,大大减少了因静脉配置药物不合理用药产生的安全隐患。Objective： To explore the irrational application of intravenous drugs. Methods： 54000 prescriptions of intravenous drug dispensing center from October 2014 to October 2017 in our hospital were collected. The unreasonable prescriptions of intravenous drugs, the prescription number of intervention were recorded, and the manifestations of irrational drug use were analyzed. Results： In the 54000 prescriptions, 2241 prescriptions were not reasonably dispensed with intravenous drugs, which accounted for 4.15%, 2095 prescriptions were intervened, which accounted for 93.49%. Unreasonable types included unreasonable compatibility, incorrect administration, repeated administration, unreasonable dosage, etc. The unreasonable prescriptions of intervention were mainly combined drug use, compatibility contraindication, compatibility solvent, frequency of administration, route of administration, use of overdose, etc. Conclusion： The incidence of irrational application of intravenous drugs in our hospital was low, and the irrational prescriptions could be effectively intercepted by pharmacists, which greatly reduced the potential safety risks caused by irrational use of intravenous drugs.

关 键 词：静脉配置药物不合理用药 处方审核 用药分析 

分 类 号：R969.2[医药卫生—药理学]