我院PIVAS用药不合理分析和处理对策

Analysis and Countermeasures of Irrational Use of Drugs in PIVAS in Taizhou People's Hospital

目的对我院PIVAS医嘱进行审核,了解用药情况并及时发现问题,以促进临床合理用药。方法对我院自2017年5月1日到2018年5月1日期间PIVAS临床不合理医嘱、不规范医嘱,进行分析、归纳,并提出修改意见。结果PIVAS收集电子医嘱共计602220张,其中不合理医嘱525张,占总医嘱的0.087%。结论我院PIVAS医嘱基本合理,在静配中心审方药师的把关下,能够有效控制静脉用药应用各环节的质量,保证临床合理用药。对于一些不合理医嘱问题,仍需建立合理的药品应用规范,为患者输液安全提供有力保障。

Objective To review the use of PIVAS in our hospital, understand the use of drugs and discover problems in time, so as to promote the rational use of drugs in clinical practice. Method From May 1, 2017 to May 1,2018, clinical unreasonable medical orders and irregular medical orders were analyzed and summarized, and improvement measures were proposed. Results PIVAS collected a total of 602, 220 electronic doctor orders, of which 525 were unreasonable doctor orders, accounting for 0.087% of the total doctor orders. Conclusion The use of PIVAS in our hospital is basically reasonable. The review work of Chinese pharmacists in the deployment center can control the quality of all aspects of intravenous drug application and ensure the clinical rational use of drugs. For some unreasonable medical order issues, it is still necessary to establish reasonable drug application specifications to provide a strong guarantee for the safety of patient infusion.