PIVAS审方药师对不合理静脉用药医嘱的干预效果分析  

Effect Analysis on Intervention of Prescription-Checking Pharmacists of PIVAS on Irrational Medical Orders of Intravenous Medication

作　　者：刘晶晶[1] 闫荟羽[1] 张杰[1] 张永凯[1] LIU Jingjing;YAN Huiyu;ZHANG Jie;ZHANG Yongkai(Dept.of Pharmacy,the First Hospital of Jilin University,Jilin Changchun 130021,China)

机构地区：[1]吉林大学第一医院药学部

出　　处：《中国医院用药评价与分析》2019年第10期1259-1262,1266,共5页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨吉林大学第一医院(以下简称“我院”)静脉用药调配中心(pharmacy intravenous admixture services,PIVAS)审方药师对不合理静脉用药医嘱的干预效果,为规范医师开具医嘱提供依据。方法:选取2018年7—12月我院PIVAS接收的1653620条静脉用药医嘱,进行统计、归纳和分析。结果:1653620条静脉用药医嘱中,不合理医嘱1566条,医嘱不合理率为0.09%;不合理医嘱主要表现为溶剂选择不适宜、医嘱录入错误及溶剂用量不适宜等;干预成功1557条,干预成功率为99.43%。结论:审方药师对不合理医嘱进行分析、干预,能及时预防和减少不合理用药引发的风险。应不断完善用药制度,促进临床合理用药,保障患者用药安全。OBJECTIVE:To probe into the intervention effect of prescription-checking pharmacists of PIVAS(pharmacy intravenous admixture services)on irrational medical orders of intravenous medication in the First Hospital of Jilin University(hereinafter referred to as“our hospital”),so as to provide basis for standardizing medical orders.METHODS:1653620 medical orders of intravenous medication received in PIVAS in our hospital from Jul.to Dec.2018 were collected,concluded and analyzed.RESULTS:Among the 1653620 medical orders,1566 were irrational,with the irrational rate was 0.09%;the irrational medical orders mainly included improper selection of solvent,typing errors of medical orders and inappropriate dosage of solvent;1577 medical orders were successfully intervened,with the rate was 99.43%.CONCLUSIONS:The analysis and intervention by prescription-checking pharmacists on irrational medical orders can timely prevent and reduce risks caused by irrational drug application.The drug application system should be continuously improved to promote clinical rational drug application and to ensure medication safety of patients.

关 键 词：静脉用药调配中心 不合理医嘱 干预 

分 类 号：R97[医药卫生—药品]