摘要
目的:分析静脉用药调配中心不合理用药医嘱情况,并提出针对性措施。方法:选取2023年1—12月桂林医学院第二附属医院静脉用药调配中心开具的19361份用药医嘱进行回顾性分析,分析不合理用药医嘱科室分布情况,以及不合理医嘱具体类型,计算构成比。结果:2023年1—12月桂林医学院第二附属医院静脉用药调配中心共接收19361份医嘱,存在80份不合格处方,占比0.41%。其中,外科不合理医嘱处方占比最高(41.25%),内科次之(32.50%);80份不合理医嘱中,包括溶媒选择不合理、用药浓度不合理、配伍禁忌、用药剂量不合理及处方输入错误5个方面,所占份数分别为17、17、6、15、25份,占比分别为21.25%、21.25%、7.50%、18.75%、31.25%。结论:桂林医学院第二附属医院静脉用药调配中心用药医嘱基本合理,但仍有不足。在后续应用药物时,审方药师应充分掌握相关药物组成成分、配伍禁忌,进一步加强医嘱审核,以确保能够提前知晓相关不合理现象,做好预防性处理,提高医院安全用药水平。
Objective:To analyze the situation of unreasonable drug use orders in intravenous drug dispensing center,and to put forward corresponding measures.Methods:A retrospective analysis was conducted on nineteen thousand three hundred and sixty-one medication orders issued by the intravenous drug dispensing center of the Second Affiliated Hospital of Guilin Medical University from January to December 2023.The distribution of unreasonable drug use orders,the specific types of unreasonable drug use orders were analyzed,and the composition ratio was calculated.Results:From January to December 2023,the intravenous drug dispensing center of the Second Affiliated Hospital of Guilin Medical University received a total of 19361 medical orders,with 80 unqualified prescriptions,accounting for 0.41%;among them,the proportion of irrational prescription in surgery was the highest(41.25%),followed by that in internal medicine(32.50%);among the 80 unreasonable medical orders,there were 5 aspects,including unreasonable solvent selection,unreasonable drug concentration,incompatibility,unreasonable drug dosage and prescription input error,accounting for 17,17,6,15 and 25,accounting for 21.25%,21.25%,7.50%,18.75%and 31.25%respectively.Conclusion:The drug use ordes of intravenous drug dispensing center of the Second Affiliated Hospital of Guilin Medical University were reasonable,but there were still some deficiencies.In the follow-up application of drugs,prescription examiners should fully grasp the relevant drug components and incompatibility,and further strengthen the review of medical orders to ensure that they can know the relevant unreasonable phenomena in advance,do preventive treatment,and improve the level of safe drug use in hospitals.
作者
罗有华
Luo Youhua(The Second Affiliated Hospital of Guilin Medical University,Guilin 541199,Guangxi Zhuang Autonomous Region,China)
出处
《中外医药研究》
2024年第14期3-5,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
静脉用药调配中心
不合理用药医嘱
审方药师
用药安全
Intravenous drug dispensing center
Unreasonable drug use ordes
Prescription pharmacist
Drug safety
