我院静脉药物配置中心不合理医嘱调查

目的:分析我院静脉药物配置中心(PIVAS)不合理医嘱情况,为促进临床合理用药提供参考。方法:收集并审核PIVAS2013年1~10月静脉输液医嘱,对其中不合理医嘱进行统计分析,并反馈给临床。结果:收集不合理医嘱共323张,不合理医嘱比例为0.03%。包括药物配伍不合理、医生录入错误、医嘱不规范、超剂量或超浓度用药、用药年龄不宜、用药与诊断不符等6个方面。结论:静脉用药不合理医嘱在临床仍存在,具有用药风险,静脉药物配置中心药师通过再审医嘱,避免或减少不合理医嘱的发生,提高临床用药安全性。

Investigation of Unreasonable Medical Orders at Pharmacy Intravenous Admixture Service of Our Hospital

ABSTRACT Objective: To analyze the unreasonable medical orders at the pharmacy intravenous admixture service (PIVAS) of our hospital to improve clinical medication. Methods:The medical orders from January to October in 2013 were collected and reviewed, the unreasonable medical orders were analyzed and the results were informed to the clinics.Results: Totally 323 unreasonable medical orders were found, which accounted for 0.03%.The unreasonable aspects included unreasonable compatibility, input error, irregular medical orders,over dosage or concentration, unsuitability between dosage and age and the disproportion between dosage and diagnosis.Conclusion: The irrationality in intravenous medical orders still exists in clinics, which shows drug use risks. The unreasonable medical orders can be avoided or reduced through the review of medical orders by pharmacists at PIVAS to improve the safety of clinical drug use.