摘要
目的:探讨静脉用药调配中心(PIVAS)全肠外营养(TPN)不合理医嘱类型及预防对策。方法:通过医院信息管理(HIS)系统提取2017—2020年PIVAS接收的TPN医嘱,统计并分析不合理医嘱类型,并探讨预防对策。结果:75984组TPN医嘱中,不合理医嘱共881组,占1.16%;医嘱不合理类型包括提交错误(40.52%)、热氮比不合理(16.57%)、糖脂比不合理(12.49%)、医嘱不全面(11.46%)、阳离子浓度高(4.88%)、药品规格不合适(0.34%)和其他(13.73%)。结论:TPN不合理医嘱类型多样,PIVAS审方药师应加强热氮比、糖脂比、医嘱全面性、电解质浓度等医嘱的审核,并对不合理医嘱提出合理化建议,以提高临床营养支持的有效性和安全性,确保患者用药安全。
Objective:To explore Types of irrational medical orders for total parenteral nutrition(TPN)in pharmacy intravenous admixture service and preventive measures(PIVAS).Methods:The TPN medical orders received by PIVAS from 2017 to 2020 were extracted through the hospital information management(HIS)system.The types of irrational medical orders were statistically analyzed,and the preventive measures were explores.Results:Among the 75984 groups of TPN medical orders,there were 881 groups of irrational medical orders,accounting for 1.16%.The types of irrational medical orders included errors in incorrect submission(40.52%),unreasonable hot nitrogen ratio(16.57%),unreasonable glucoseto-lipid ratio(12.49%),incomplete medical orders(11.46%),high cation concentration(4.88%),inappropriate drug specification(0.34%)and others(13.73%).Conclusions:There are various types of irrational medical orders for TPN.PIVAS prescription review pharmacists should strengthen the review of medical orders such as hot nitrogen ratio,glucose-to-lipid ratio,comprehensiveness of medical orders,electrolyte concentration and the like,and put forward reasonable suggestions for irrational medical orders so as to improve the effectiveness and safety of clinical nutritional support and ensure the safety of patients’medication.
作者
刘欣
孟慧慧
张关敏
李雪梅
张艳华
LIU Xin;MENG Huihui;ZHANG Guanmin;LI Xuemei;ZHANG Yanhua(Department of Pharmacy,Peking University Cancer Hospital and Beijing Institute of Cancer Prevention and Control,Key Laboratory of Education Ministry for Malignant Tumor Pathogenesis and Translational Research,Beijing 100142,China)
出处
《中国民康医学》
2022年第10期124-127,共4页
Medical Journal of Chinese People’s Health
关键词
静脉用药调配中心
全肠外营养
营养支持
不合理医嘱
类型
对策
Pharmacy intravenous admixture service
Total parenteral nutrition
Nutritional support
Irrational medical orders
Type
Countermeasure
