2019~2020年某院静脉药物配置中心不合理医嘱分析  

Analysis on irrationality of intravenous medication in PIVAS of a hospital from 2019 to 2020

作　　者：王振敏 闫涛[1] WANG Zhen-min;YAN Tao(Department of pharmacy,Tianjin Huanhu Hospital,Tianjin 300350,China)

机构地区：[1]天津市环湖医院药剂科,天津300350

出　　处：《中国处方药》2021年第1期65-66,共2页Journal of China Prescription Drug

摘　　要：目的了解某院静脉药物配置中心2019~2020年不合理医嘱情况,为临床合理用药提供参考。方法采用回顾性调查方法,对2019年10月~2020年9月抽取的59089份医嘱进行处方点评分析。结果发现不合理用药率为0.72%,其中包含溶媒选择不适宜,溶媒量不适宜,用法与用量不适宜,药物联合使用不合理等。结论静脉药物配置中心需加强医嘱审核,及时发现并纠正不合理处方,加强药师与临床的紧密联系,规避用药风险,提高药学服务质量。Objective To understand the irrational medical orders in the pharmacy intravenous admixture services(PIVAS)of Tianjin Huanhu Hospital,so as to provide references for improving clinical rational drug application.Methods By retrospective analysis,59,089 prescriptions examined by PIVAS in our hospital from Oct.2019 to Sep.2020 were selected and analyzed.Results The rate of irrational medical orders was 0.72%,mainly including inappropriate usage and dosage,improper solvent selection,unsuitable solvent dosage,incompatibility,etc.Conclusion The irrational medical orders may be discovered and corrected by strictly checking in PIVAS.It is necessary to strengthen the relation between pharmacists and physicians to reduce the risk of drug use and improve the quality of pharmaceutical services.

关 键 词：静脉药物配置中心 不合理用药 处方审核 医嘱 回顾性分析 

分 类 号：R95[医药卫生—药学]