我院2009年静脉药物配置中心不合理用药医嘱分析

Analysis of Irrational Medication Orders of Pharmacy Intravenous Admixture Service in Our Hospital in 2009

目的:分析我院2009年静脉药物配置中心不合理用药医嘱,增强合理用药意识,提高合理用药水平。方法:对我院2009年14个病区长期静脉用药医嘱43835条进行药师和"美康合理用药监测系统"双重审核,主要审核内容包括浓度使用不当、溶媒选择不当、配伍禁忌、超剂量用药、重复用药等。结果:不合理用药医嘱共142条,占总审核医嘱的0.32%;其中6种2009年新引进药物引起34条,占不合理用药医嘱的23.94%;其中发生率最高的是浓度使用不当(占不合理用药医嘱的42.25%)和配伍禁忌(占不合理用药医嘱的25.35%)。结论:新引进药物易增加不合理用药医嘱的发生几率,故药师应加以重视,认真审核,提高临床合理用药水平。

OBJECTIVE： To analyze irrational medication orders of pharmacy intravenous admixture service （PIVAS） in our hospital in 2009, to enhance the awareness of rational drug use and to improve rational drug use. METHODS： 43 835 long-term medication orders of 14 wards in our hospital in 2009 were checked by pharmacists and Meikang Rational Drug Use Software. The check list mainly included improper concentration, irrational selection of solvent, drug incompatibility, excessive dosage, duplicate drug use. RESULTS： 142 irrational medication orders accounted for 0.32%. 34 irrational medication orders were caused by 6 kinds of newly introduced drugs in 2009, accounting for 23.94%. Improper concentrations （42.25%） and drug incompatibility （25.35%） took up the biggest proportion. CONCLUSION： Newly introduced drugs increase the incidence of irrational medication orders. Pharmacists should check the medication orders carefully so as to improve rational drug use in the clinic.