我院2013年静脉药物配置中心长期医嘱不合理用药分析

目的:了解我院静脉药物配置中心(PIVAS)发现的不合理用药情况,为促进临床合理用药积累经验。方法:回顾性分析2013年1-12月我院PIVAS不合理医嘱。结果:我院PIVAS共收到病区长期医嘱147 516份,经审核发现不合理用药医嘱1 882份,占整个医嘱量的1.28%,其中溶媒不合理占27.79%、用法用量不合理占23.33%、联合用药不合理占17.11%、医嘱输入错误占14.29%、配伍禁忌占10.63%、药物选择不合理占6.85%。经与临床医师、护士沟通,纠正医嘱1 747份,医嘱纠正率为92.45%。结论:通过对PIVAS不合理用药情况的统计分析,为选择合适的药物配伍以及采用合适的用药方法、用药时间奠定了基础,保证了临床用药的合理性和科学性。

Analysis of Irrational Drug Use in Standing Orders from PIVAS of Our Hospital in 2013

OBJECTIVE： To inevstigate irrational drug use in PIVAS of our hospital, and to provide reference for the promo- tion of rational drug use in the clinic. METHODS： Irrational medical orders were analyzed in PIVAS of our hospital during Jan. to Dec. in 2013. RESULTS： PIVAS of our hospital received 147 516 standing orders from wards; after audit, there were 1 882 orders of rational drug use, accounting for 1.28% of all orders, including unreasonable solvent （27.79%）,unreasonable usage and dosage （23.33 % ）, unreasonable drug combination （ 17.11% ）, input error （ 14.29 % ）, incompatibility （ 10.63 % ）, unreasonable drug selec- tion（6.85% ）. Through the communication with clinical physicians and nurses, 1 747 orders were corrected with correction rate of 92.45%. CONCLUSIONS： The statistical analysis of unreasonable drug use in P1VAS lays the foundation for the selection of appro- priate drug compatibility, medication method and time to ensure the rationality and scientific nature of clinical application.