某院日间化疗中心PIVAS抗肿瘤药物不合理医嘱分析

Analysis on Irrational Prescriptions of Antitumor Drugs in PIVAS of Daytime Chemotherapy Center

目的减少抗肿瘤药物不合理医嘱发生率,促进临床安全合理用药。方法对某院日间化疗中心PIVAS 2016年1月～2017年12月干预的333例抗肿瘤药物不合理医嘱进行回顾性分析。结果该院日间化疗中心PIVAS抗肿瘤药物不合理医嘱类型有溶媒用量不当(31%)、给药浓度不当(29%)、溶媒品种选择不当(13%)、给药途径不当(12%)、医嘱录入错误(11%)和其他(4%);药师干预成功率达到95%。结论药师干预可提高抗肿瘤药物的安全合理用药,减少不合理医嘱。

OBJECTIVE To reduce the irrational use of antitumor drugs and promote the safe and rational use of drugs in clinical practice.METHODS A retrospective analysis was made on 333 irrational prescriptions of antitumor drugs intervened by PIVAS of daytime chemotherapy center of a hospital from January 2016 to December 2017.RESULTS The types of irrational prescriptions of antitumor drugs in PIVAS of daytime chemotherapy center of a hospital included inappropriate dosage of solvents(31%),inappropriate concentration(29%),inappropriate selection of solvent varieties(13%),inappropriate drug delivery(12%),wrong input of medical advice(11%)and others(4%);the success rate of pharmacist intervention reached 95%.CONCLUSION The intervention of pharmacists could improve the safety and rational use of antitumor drugs,and reduce irrational prescriptions.