临床干预对降低静脉药物配置中心不合理医嘱的干预效果  

Intervention effect of clinical intervention in reducing unreasonable orders of intravenous drug allocation center

作　　者：李琳[1] 王嵘娟[1] 钟文辉[1] 黄小燕[1] 徐丽丽[1] LI Lin;WANG Rong-juan;ZHONG Wen-hui(People＇ s Hospital of Ganzhou City, Ganzhou 341000, China)

机构地区：[1]江西省赣州市人民医院,341000

出　　处：《临床合理用药杂志》2018年第15期161-162,共2页Chinese Journal of Clinical Rational Drug Use

基　　金：赣州市科技局计划立项课题(GZ2017ZSF164)

摘　　要：目的探讨临床干预对降低静脉药物配置中心不合理医嘱的干预效果。方法赣州市人民医院于2017年加强静脉药物配置中心临床干预管理,选取本院2016年(干预前)12 836条医嘱及2017年1—9月(干预后)10 652条医嘱为研究对象。统计分析干预前后不合理医嘱发生情况。结果干预后溶媒选择不当、给药频次不当、剂量不当、浓度不当、配伍不合理、其他不合理医嘱及总发生率低于干预前(P<0.05)。结论临床干预可降低静脉药物配置中心不合理医嘱发生率,提高静脉用药安全性与合理性。Objective To observe the intervention effect of clinical intervention in reducing unreasonable orders of intravenous drug allocation center.Methods People＇s Hospital of Ganzhou City strengthen clinical intervention management of intravenous drug allocation center in 2017,12 836 orders in 2016 and 10 652 orders from January to December 2016 were selected as objects of study,the unreasonable orders before and after intervention was for comparative analysis.Results After intervention,the incidence rate of improper solvent selection,improper frequency of administration,improper dosages,improper concentration,unreasonable compatibility of medicines and the others,and total rate were lower than prior intervention（P〉0.05）.Conclusion Clinical intervention can reduce the incidence rate of unreasonable orders of intravenous drug allocation center,and improve the safety and rationality of intravenous drug use.

关 键 词：静脉药物配置中心 医嘱 合理化 干预效果 

分 类 号：R95[医药卫生—药学]