淄博市中心医院静脉药物配置中心对儿科不合格处方分析与干预  

Analysis and intervention of unqualified medical orders in department of pediatrics in pharmacy intravenous admixture service of Zibo Central Hospital

作　　者：吕飞飞[1] 吕昌亮 张盼盼 高婕[1] LYU Feifei;LYU Changliang;ZHANG Panpan;GAO Jie(Department of Pharmacy,Zibo Central Hospital,Shandong Province,Zibo 255000,China)

机构地区：[1]山东省淄博市中心医院药学部静脉用药调配科,山东淄博255000

出　　处：《中国当代医药》2022年第20期140-143,共4页China Modern Medicine

摘　　要：目的统计分析淄博市中心医院静脉药物配置中心儿科不合格处方,总结用药过程中存在的问题,为儿科药品合理使用总结经验。方法回顾性选取淄博市中心医院静脉药物配置中心(PIVAS)儿科2021年1月1日至6月1日不合格处方并进行分析,采取多项措施对不合格处方进行干预。结果数据统计期间,PIVAS共审核儿科处方16086条,剂量范围不合理1494条,配伍浓度388条,给药途径272条,儿童用药45条,药物禁忌40条,相互作用13条,重复用药2条。干预措施实施后,不合格处方比例由19.50%下降至8.91%。不合格处方干预成功率平均为99.58%,干预失败主要集中于剂量范围。结论儿科用药不合理问题严峻,PIVAS应加强对该科室处方审核,同时处方审核药师应加强专业知识学习,促进儿童药品合理使用。Objective The unqualified prescriptions of pediatrics in the Department of Pharmacy of Zibo Central Hospital were statistically analyzed,and the problems existing in the medication process were summarized to sum up the experience for the rational use of pediatrics drugs.Methods Retrospective statistical analysis was conducted on unqualified prescriptions of pharmacy intravenous admixture services(PIVAS)of Zibo Central Hospital from January 1 to June 1,2021.And many measures were taken to intervene the unqualified prescriptions.Results During the statistical period,PIVAS reviewed a total of 16086 pediatric prescriptions,1494 irrational dosage ranges,388 compatible concentrations,272 routes of administration,45 drugs for children,40 drug contraindications,13 interactions and 2 repeated drugs.After the implementation of the intervention measures,the proportion of unqualified prescriptions decreased from 19.50%to 8.91%.The average success rate of intervention with unqualified prescriptions was 99.58%,and the failure of intervention mainly focused on the dose range.Conclusion Irrational drug use in pediatrics is a serious problem.PIVAS should strengthen prescription audit in this department,and prescription audit pharmacists should strengthen professional knowledge learning to promote the rational use of children′s drugs.

关 键 词：静脉药物配置中心 不合格处方 儿科 处方干预 

分 类 号：R969.3[医药卫生—药理学]