摘要
目的:了解静脉药物配置中心输液医嘱的情况,促进合理用药,保障临床用药安全性。方法:对中山大学附属第一医院(以下简称"我院")2014年9月—2015年8月静脉药物配置中心审核的1 144 800份输液医嘱进行点评与分析。结果:1 144 800份输液医嘱中,不合理医嘱522份,医嘱不合理率为0.05%。522份不合理医嘱主要来自心脏外科(43份,占8.24%)和普通内科(33份,占6.32%);不合理类型主要为药物浓度不适宜(228份,占43.68%)、溶剂不适宜(98份,占18.77%)、药物配伍不适宜(87份,占16.67%)、用法与用量不适宜(71份,占13.60%)等。静脉药物配置中心药师及时与医师核准,使不合理医嘱得到了及时有效的更改,保障了患者按时用药。结论:我院静脉药物配置中心药师对输液医嘱进行点评,能及时发现并纠正不合理情况,提高了静脉用药的安全性和有效性。
OBJECTIVE：To investigate the status of medical orders in pharmacy intravenous admixture service, and to promote rational drug use, so as to ensure the application safety of drugs in clinic. METHODS： 1 144 800 medical orders from pharmacy intravenous admixture service in the First Affiliated Hospital of Sun Yat-sen University （hereinafter referred to as ＂our hospital＂） from Sept. 2014 to Aug. 2015 were reviewed and analyzed. RESULTS： Of the 1 144 800 medical orders, 522 were irrational, the irrational rate was 0. 05%, mostly in cardiac surgery department（43 cases, 8.24% ） and general medicine department（33 cases, 6.32% ）, the main types were： improper drug concentration（228 cases, 43.68% ）, improper selection of solvent type （98 cases, 18.77% ）, improper drug compatibility（87 cases, 16.67%）, improper usage and dosage （71 cases, 13. 60%）, etc.. CONCLUSIONS： Through reviewing medical orders in pharmacy intravenous admixture service, the pharmacists could discover and correct the irrational medication orders timely, and improve the effectiveness and safety of intravenous drug use.
出处
《中国医院用药评价与分析》
2016年第8期1129-1131,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
国家自然科学基金青年项目(No.81503156)
关键词
静脉药物配置中心
医嘱点评
合理用药
Pharmacy intravenous admixture service
Review of medical orders
Rational drug use
