我院外科药房静脉药物配置中心1553例不合理医嘱分析

Analysis of 1553 Irrational Prescriptions in Pharmacy Intravenous Admixture Service of Surgical Department

目的规范临床合理用药,减少给药错误,确保患者用药安全。方法对医院静脉药物配置中心2010年7月至8月静脉用药医嘱中1 553例不合理医嘱进行回顾性分析。结果不合理医嘱主要为药物溶剂不当、浓度不当、给药频次不合理、加液量不当、配伍禁忌等。结论静脉药物配置中心提供了很好的药学服务平台,药师应充分运用药学专业知识,协助医师合理用药,提高临床用药的合理性和安全性。

Objective To analyze the irrational prescriptions in Pharmacy Intrave nous Admixture Services（PIVAS） to standardize the clinical rational drug use,red uce the errors of drug administration and ensure the patient′s medication safet y.Methods By adopting the retrospective review,we examined the prescriptions in PIVAS from July,2010 to August,2010 and analyzed the 1 553 irrational prescripti ons.Results The irrational prescriptions included the improper choice of drug so lvents,medication frequency,concentration of medicine,amount of adding solution, drug incompatibility and so on.Conclusion Pharmacists in PIVAS play an important role in practising pharmaceutical care and improving the level of rational and safe drug use in hospital.