某医院静脉用药调配中心不合理处方分析  

Analysis of unreasonable prescriptions in pharmacy intravenous admixture services of a hospital

作　　者：魏彩 刘丽萍[2] 梁敏[2] 秦宜德[3] WEI Cai;LIU Liping;LIANG Min;QIN Yide(Sinopharm Medicine Holding Anhuisheng Yiyao Co.,Ltd.,Hefei,Anhui 230061,China;Depart-ment of Pharmacy,Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230601,China;Basic Medical College of Anhui Medical University,Hefei,Anhui 230032,China)

机构地区：[1]国药控股安徽省医药有限公司,安徽合肥230061 [2]安徽医科大学第二附属医院药学部,安徽合肥230601 [3]安徽医科大学基础医学院,安徽合肥230032

出　　处：《安徽医药》2020年第9期1880-1883,共4页Anhui Medical and Pharmaceutical Journal

基　　金：国家自然科学基金(81472448)。

摘　　要：目的分析某医院静脉用药调配中心不合理处方,不断提升医院合理用药水平。方法采用回顾性分析方法,从不合理处方的类型、科室分布、高警示药品、发现途径等方面,对安徽医科大学第二附属医院2015—2018年13876组不合理处方进行统计分析。结果总不合理处方占总处方的0.17%;溶媒规格不当是数量最多的类型,占总不合理处方数的47.64%;ICU是不合理处方数量最多的科室,占本科室总处方数的0.92%;高警示药品中非肠道和口服化疗药占比最高,占此类总处方数的0.53%;审方时发现的最多,占62.71%;干预成功率为99.85%。结论审方药师进行用药干预可有效降低不合理处方,提高静脉药物的合理用药水平。Objective Toanalyze the unreasonable prescription of Pharmacy Intravenous Admixture Services in our hospital,and constantly improve the level of rational medication use in our hospital.Methods A retrospective analysis method was used to ana⁃lyze 13876 unreasonable prescriptions in the Second Affiliated Hospital of Anhui Medical University from 2015 to 2018 from the types of unreasonable prescriptions,department distribution,high⁃alert medication and discovery ways.Results Total unreasonable prescriptions accounted for 0.17%of the total prescriptions;Improper solvent specification was the most common type,accounting for 47.64%of the total irrational prescriptions;ICU is the department with the largest number of irrational prescriptions,accounting for 0.92%of the total prescriptions;Among the high⁃alert medication,non⁃intestinal and oral chemotherapymedicationaccounted for the highest proportion,accounting for 0.53%of the total prescriptions;Most of them were found in the trial,accounting for 62.71%;The success rate of intervention was 99.85%.Conclusions Medication intervention by prescription⁃checking pharmacists can effec⁃tively reduce irrational prescriptions and improve the level of rational use of intravenous medications.

关 键 词：药物处方 输注 静脉内 给药系统 医院 处方不当 静脉用药调配中心 处方审核 高警示药品 合理用药 

分 类 号：R95[医药卫生—药学]