某院2011～2013年静脉药物配置中心不合理用药医嘱分析

Investigation and analysis of unreasonable medication orders of pharmacy intravenous admixture service center in ahospital from 2011～2013

目的分析该院2011～2013年静脉用药集中调配中心不合理用药医嘱,了解静脉药物配置中心（PIVAS）不合理用药医嘱现状及药师干预成效。方法收集整理该院PIVAS日常审方工作中不合理用药医嘱,并进行统计分析。结果该院PIVAS不合理用药医嘱的主要类型为：稀释浓度不当、溶媒选择不当、给药频次不当、药物配伍禁忌、给药剂量不当等;2011～2013年不合理用药医嘱的百分率分别为：0.0769%、0.0479%、0.0269%,呈逐年下降趋势。结论通过药师审核用药医嘱及有效干预,不合理用药医嘱减少,患者静脉用药的安全性得到了提高。

Objective To analyze unreasonable medication orders of pharmacy intravenous admixture service center（PIVAS） in our hospital to understand the current situation of unreasonable medication orders of PIVAS and the effect of pharmacists intervention. Methods Collected unreasonable medication orders of daily review the prescription of PIVAS in nearly three years,then to do statistical analysis. Results The main types of unreasonable medication orders of PIVAS in our Hospital were improper dilution concentration, improper selection solvent, improper dosing frequency, drug compatibility taboo and improper dosing dose. From 2011 to 2013, the percentage of unseasonal drug use were 0.0769%, 0.0479% %, 0.0269%, respectively on a continuous down trend. Conclusion Unreasonable medication orders decreased through review medication and effective intervention by the pharmacists, therefore the safety of intravenous drug use is also improved.