3294例工业化三腔袋医嘱合理性分析

Reasonableness analysis of medical orders in 3294 industrialized triple chamber bags

目的研究安徽医科大学第一附属医院高新院区2022年全年所有工业化三腔袋医嘱,并对其合理性进行分析。方法通过静脉用药调配中心智慧园系统收集2022年全年所有病区使用工业化三腔袋医嘱信息,计33个病区,共3294条医嘱,参照各专家共识及相关文献,建立评价标准13条,并对所有医嘱的合理性进行分析。结果合理医嘱计2704条,占比82.09%,存在问题类型8种,主要为N(2)-L-丙氨酰-L-谷氨酰胺注射液超量使用,占全部问题的88.71%;胃肠外科一病区是需要进行干预的主要病区。结论通过对工业化三腔袋医嘱进行分析,抓住主要问题,明确改进方法,确保临床对于工业化三腔袋使用的安全性和有效性。

Objective To study all the industrialization triple chamber bags medical orders of the First Affiliated Hospital of Anhui Medical University in 2022,and to analyze their rationality.Methods Through the Zhihuiyuan system of the Pharmacy Intravenous Admixture Services,the information on the use of industrialized triple chamber bags in all wards of our hospital in 2022 was collected,counting 33 wards,total of 3294 medical orders,with reference to the consensus of various experts and related literature,13 evaluation standards were established,and the rationality of all medical orders was analyzed.Results There were 2704 reasonable medical orders,accounting for 82.09%,and there were 8 types of problems,mainly for the overuse of N(2)-L-Alanyl-L-Glutamine injection,accounting for 88.71%of all problems;gastrointestinal surgery ward I is the main ward that needed intervention.Conclusion Through the analysis of the medical orders of industrialized triple chamber bags,the main problems are grasped,and the improvement methods are clarified to ensure the safety and effectiveness of clinical use of industrialized triple chamber bags.