2021年某院静脉药物配置中心不合理处方干预效果分析  

Analysis of the intervention effect of unreasonable prescription in a hospital′s pharmacy intravenous admixture services in 2021

作　　者：刘益清 卓双塔 李强 LIU Yiqing;ZHUO Shuangta;LI Qiang(The Second Affiliated Hospital of Xiamen Medical College,Xiamen 361000,China)

机构地区：[1]厦门医学院附属第二医院,福建省厦门市361000

出　　处：《临床合理用药杂志》2022年第33期5-9,共5页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的分析某院2021年度静脉药物配置中心医嘱审核不合理处方及药师干预效果,以促进医院静脉用药的规范合理。方法回顾性分析2021年厦门医学院附属第二医院静脉药物配置中心医嘱审核不合理处方情况。2021年由该院药师组建医嘱审核小组,对不合理用药处方进行审核干预。分析2021年每季度医嘱审核不合理处方情况、每个季度不同类型医嘱审核不合理用药处方变化情况,并对具体情况进行分析。结果2021年静脉药物配置中心配置输液成品280747份,药师干预不合理处方数1263张,不合理率为0.45%。每季度医嘱审核不合理用药处方数分别为478张、384张、263张、138张,不合理率分别为0.67%、0.53%、0.36%、0.21%。不合理处方总体降幅71.13%。2021年度不合理用药处方类型主要包括浓度不适宜(42.44%)、配伍禁忌(14.89%)、溶媒选择不适宜(2.53%)、其他类型(40.14%),医嘱审核干预后降幅分别达到66.67%、86.02%、93.33%、66.27%。结论药师对静脉药物配置中心静脉医嘱的审核及不合理处方的干预,使得该院处方不合理率大幅度下降,同时规范了临床医师处方开具的安全性、有效性、经济性,对提高该院的静脉用药安全、促进药物资源的充分利用有重要意义。Objective To analyze the irrational prescription situation of the hospital′s pharmacy intravenous admixture services(PIVAS)in 2021 and the intervention effect of pharmacists,so as to promote the standardization and rationality of intravenous drug use in the hospital.Methods Retrospective analysis was made on the irrational prescriptions in the PIVAS of the Second Affiliated Hospital of Xiamen Medical College in 2021.In 2021,the pharmacist of the hospital set up a doctor′s advice review team to review and intervene the irrational drug prescriptions.To analyze the irrational prescriptions audited by doctor′s advice every quarter in 2021,and the changes of irrational drug prescriptions audited by different types of doctor′s advice every quarter,and to analyze the specific situation.Results In 2021,the number of irrational prescriptions reviewed by doctor′s orders was 478,384,263 and 138 respectively,and the unreasonable prescription rates were 0.67%,0.53%,0.36%and 0.21%,respectively.The overall decline of unreasonable prescriptions was 71.13%.The types of irrational drug use prescriptions in this year mainly included inappropriate concentration(42.44%),incompatibility(14.89%),inappropriate solvent selection(2.53%),and the other types(40.14%).The decline after medical order review and intervention reached 66.67%,86.02%,93.33%and 66.27%,respectively.Conclusion The pharmacists′review of intravenous medication orders and the intervention of unreasonable medication prescriptions standardize the safety,effectiveness and economy of clinicians′prescriptions,which is of great significance to improve the safety of intravenous medication in the hospital and promote the full utilization of drug resources.

关 键 词：静脉药物配置中心 静脉用药 医嘱 不合理处方 药师干预 

分 类 号：R95[医药卫生—药学]