住院输液医嘱前置审核实践

Practice of inpatient infusion prescription pre-intervention

目的:提高药师对输液医嘱干预能力,发挥药师自身价值,促进临床合理用药。方法:对2015年—2017年的5500271组住院输液医嘱的前置审核记录进行统计分析,观察医嘱前置审核工作对住院输液医嘱质量的影响。结果:2015年—2017年,经处方审核管理系统(pivas mate系统)和药师双重审核的住院输液医嘱总的不合理医嘱拦截率为2.1%,2015年—2017年,不合理医嘱拦截率分别为1.68%、1.95%、2.79%。不合理医嘱类型主要为书写不规范或录入错误、溶媒限制、无适应症给药等。结论:实施医嘱前置审核,可有效提高住院输液医嘱安全合理性,同时提高药师处方审核干预能力。

Objective:To improve the ability of infusion prescriptions intervention and give full play to the value of the pharmacist,promote rational drug use in clinic.Methods:In order to make a comparison of the influence of pre-prescription intervention on inpatient infusion prescriptions,the records of 5500271 pre-prescription intervention in the hospital inpatient service from 2015 to 2017 were statistically analyzed.Results:The total rate of irrational inpatient infusion prescriptions was 2.1%by pivas mate system and pharmacist intervention from 2015 to 2017,the interception rate of unreasonable prescriptions was 1.68%,1.95%and 2.79%,respectively,between 2015 and 2017.The unreasonable prescriptions were mainly for unstandard writing or input error,improper choice of solvents,use drug no indication.Conclusions:Pre-prescription intervention can obviously improve the safety and rationality of intpatient infusion prescriptions and improve the prescription intervention ability of pharmacists.