我院静脉用药调配中心溶媒选择不当医嘱分析

The analysis of improper medical orders of solvent selection in the pharmacy intravenous admixture services of our hospital

目的分析医院静脉用药调配中心不合理医嘱、溶媒选择不当问题,促进临床安全用药。方法采用回顾性研究方法,选择2018年度不合理医嘱391份,运用Pareto分析不合理医嘱的类型、溶媒选择不当的主要因素。结果不合理医嘱存在的主要因素有溶媒选择(58.05%)、给药频次(16.88%)、给药剂量(14.07%),其中首位因素为溶媒选择。结论溶媒选择是影响静脉输液疗效及安全性的主要因素,通过对溶媒选择进行合理干预,可降低静脉用药风险,守护患者输液安全,提高药师的服务价值。

Objective To analyze the unreasonable doctor’s orders of the hospital’s pharmacy intravenous admixture services,the problem of improper solvent selection,and promote clinical safe medication.Methods A retrospective research method was used to select 391 unreasonable medical orders in 2018.Pareto was used to analyze the types of unreasonable medical orders and the main factors of inappropriate choice of solvents.Results The main factors of unreasonable medical advice were the choice of solvent(58.05%),the frequency of administration(16.88%),the dose of administration(14.07%),of which the first factor was the choice of solvent.Conclusion The choice of solvent is the main factor that affects the efficacy and safety of intravenous infusion.By rationally intervening in the choice of solvent,the risk of intravenous medication can be reduced,the safety of infusion of patients can be guarded,and the value of pharmacist services can be improved.