摘要
目的分析张家港澳洋医院静脉用药配置中心(PIVAS)的不合理用药医嘱情况。方法收集该院PIVAS于2016年2月—2017年12月经药师干预审核的静脉用药医嘱共634879份,其中包括不合理医嘱967份,分析不合理用药医嘱改进情况。结果经药师干预后,不合理医嘱967份已更改860份,更改率为88.93%。不合理用药情况包括超剂量用药、溶液浓度不够、溶媒选择不恰当、重复用药等。结论PIVAS药师对医嘱进行审核,对不合理用药医嘱进行干预,有助于提高临床用药安全性及合理性,保障患者用药安全。
Objective To analyze the irrational use of medicines in the intravenous drug allocation center(PIVAS)of Zhangjiagang Aoyang Hospital.Methods A total of 634879 intravenous drug treatments were collected from our hospital PIVAS from February 2016 to December 2017,including 967 unreasonable medical orders,and the improvement of irrational medications was analyzed.Results After the intervention of the pharmacist,967 unreasonable doctors had changed 860,and the change rate was 88.93%.Unreasonable drug use includes overdose,insufficient solution concentration,inappropriate choice of solvent,repeated drug use,etc.Conclusion PIVAS pharmacists review medical orders and intervene in irrational use of medical orders to help improve the safety and rationality of clinical medications and to ensure patient safety.
作者
蔡燕
CAI Yan(Pharmacy Department,Zhangjiagang Aoyang Hospital,Zhangjiagang,Jiangsu Province,215600 China)
出处
《中国卫生产业》
2019年第34期191-193,共3页
China Health Industry
关键词
静脉用药配置中心
不合理用药
医嘱
Intravenous drug allocation center
Irrational use of drugs
Doctor's advice