2022年安徽中医药大学第一附属医院静脉用药配置中心不合理医嘱分析  

Analysis of unreasonable medical orders in the pharmacy intravenous admixture services of the First Affiliated Hospital of Anhui University of Chinese Medicine in 2022

作　　者：江蕾蕾 JIANG Leilei(Department of Pharmacy,the First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Province,Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院药学部,安徽合肥230031

出　　处：《中国当代医药》2024年第9期120-125,共6页China Modern Medicine

摘　　要：目的分析安徽中医药大学第一附属医院2022年度静脉用药配置中心(PIVAS)医嘱用药不合理的原因及干预现状,为药师合理审方提供参考,促进临床合理用药。方法收集医院PIVAS2022年住院患者医嘱用药不合理的干预记录,对不合理医嘱的审核与干预、病区分布、医嘱类型等情况进行分析,总结不合理医嘱发生原因,提出可行性对策。结果汇总发现不合理用药医嘱172份,不合格率为0.024%。不合理医嘱成功干预168组,干预成功率为97.67%。不合理医嘱数排名靠前的病区分别是脑病一区、脑病二区、心血管内科二病区、风湿内科二病区等病区,共占比79.65%,为不合理用药的主要病区。不合理医嘱占比较高的类型为溶媒用量不适宜和溶媒选择不适宜,占不合理医嘱总数的73.26%,为主要类型。结论PIVAS药师应增强合理用药意识,及时发现并纠正不合理医嘱,协助临床医师合理的药物治疗。Objective To analyze the reasons and intervention status of unreasonable medication orders from the pharmacy intravenous admixture services(PIVAS)in the the First Affiliated Hospital of Anhui University of Chinese Medicine in 2022,provide reference for pharmacists to review prescriptions reasonably and promote clinical rational medication.Methods The intervention records of unreasonable drugs prescribed by hospitalized patients in PIVAS 2022 were collected,the review and intervention of unreasonable medical orders,ward distribution,type of medical orders were analyzed,the causes of unrea-sonable medical orders,and put forward feasible countermeasures were summarized.Results A total of 172 unreasonable medication orders were found,with an unqualified rate of 0.024%.Unreasonable medical advice successfully intervened in 168 groups,with a success rate of 97.67%.The top ranked areas for unreasonable medical orders were Brain Disease Zone 1,Brain Disease Zone 2,Cardiovascular Medicine Zone 2,Rheumatology Medicine Zone 2,and other areas,accounting for a total of 79.65%,making them the main areas for unreasonable drug use.The types with a relatively high proportion of unrea-sonable medical orders were inappropriate solvent volume and inappropriate solvent selection,accounting for 73.26%of the total number of unreasonable medical orders,which were the main types.Conclusion PIVAS pharmacists should enhance the awareness of rational drug use,timely find and correct unreasonable medical orders,and assist clinicians in reasonable drug treatment.

关 键 词：静脉用药配置中心 不合理医嘱 干预 合理用药 

分 类 号：R197[医药卫生—卫生事业管理]