某院静脉用药调配中心2019年1236份医嘱用药不合理原因分析及其解决措施  

Analysis on Reasons for Unreasonableness of 1236 Cases ofMedication Prescribed by Doctors in PIVAS of a hospital in 2019 and ItsMeasures

作　　者：徐俐伟 秦媛媛[1] 唐秋月[1] 赵飞燕[1] XU Li-wei;QIN Yuan-yuan;TANG Qiu-yue;ZHAO Fei-yan(Department of Pharmacy,Suzhou Hospital of Traditional Chinese Medicine,Suzhou Jiangsu 215009,China)

机构地区：[1]苏州市中医医院药学部,江苏苏州215009

出　　处：《抗感染药学》2021年第1期32-36,共5页Anti-infection Pharmacy

摘　　要：目的:分析医院静脉用药调配中心(PIVAS)医嘱用药的合理性以及不合理的原因。方法:抽取2019年PIVAS接收的静脉用药医嘱107541份,应用Excel 2003版统计学软件分析其用药的合理性并找出不合理的原因及解决措施。结果:107541份用药医嘱中,审核出1236份不合理医嘱,其用药的不合理率为1.15%;不合理用药涉及的主要科室有普外科、风湿科、肿瘤内科,不合理用药原因涉及间隔液、给药剂量、给药频次、溶媒选择、配伍禁忌等,其中1042份医嘱做出修改,其医嘱的修改率为84.30%。结论:PIVAS药师通过审核临床各病区提交的用药医嘱,能及时发现医嘱用药的不合理性,并及时与临床相关人员沟通,有效降低了住院患者静脉用药医嘱的不合理率,体现处方前置审核的意义,确保了患者安全合理用药。Objective:To analyze the unreasonable reasons of 1236 cases of medication prescribed by doctors in PIVAS of a hospital in 2019.Methods:107541 intravenous drug orders received by PIVAS in 2019 were extracted,and the rationality of drug use was analyzed with Excel 2003 statistical software,and the unreasonable reasons were found out and timely solutions were taken.Results:Among the 107541 medical orders,1236 unreasonable orders were verified,and the unreasonable rate of drug use was 1.15%.The main departments involved in unreasonable drug usage included general surgery,rheumatology and oncology,and the reasons included interval solution,dose,frequency of drug administration,solvent selection and compatibility contraindications.In them,1042 medical orders were modified,and the modification rate of medical orders was 84.30%.Conclusion:By reviewing the medical orders submitted by each clinical ward,PIVAS pharmacists can timely find out the irrationality of medical orders and timely communicate with relevant clinical personnel,effectively decreasing the irrationality rate of inpatients'intravenous drug orders,reflecting the significance of prescription pre-review,and ensuring the safety and rationality of drug usage for patients.

关 键 词：PIVAS 不合理医嘱 医嘱用药 解决措施 

分 类 号：R969.3[医药卫生—药理学]