临床药师医嘱审核在静脉药物集中配置中的作用

分析医院静脉药物集中配置情况,探讨临床药师通过医嘱审核在静脉药物配置中心（PIVAS）的作用,促进了临床合理用药。方法：针对医院PIVAS为内科病房开展工作,按照随机抽样原则,分别抽取2013年7~12月（A组）及2014年1~6月（B组）的住院用药医嘱中各抽取4000份,进行分析和统计。结果：A组不合格医嘱有377份（占医嘱9.43%）,B组住院用药医嘱中,不合格医嘱有94份（占医嘱2.35%）。结论：通过医嘱审核,临床药师在PIVAS的工作中,将控制不合理用药关口前移,促进了临床合理用药,提高了医院的现代化医疗质量。

Clinical pharmacists orders audit role in intravenous drug centralized configuration

To analyze the circumstances of hospital intravenous drug concentration, to explore the pharmacist review through the doctor＇s advice in the intravenous drugs allocation centre （PIVAS）, promote the hospital clinical rational use of drugs. Methods： Focusing on PIVAS work for medical ward, in accordance with the principle of a random sample, Every 4, 000 inpatient medication orders from July to December in 2013 （group A） and from January to June in 2014 （group B）, respectively, analysis and statistics. Results：The unqualified medical advice about 377 （9.43%） in group A, in the hospital drug use in the pharmacist＇s advice, the unqualified medical advice was about 94 （2.35%） in group B. Conclusion：Through the doctor＇s advice, pharmacists in PIVAS, can control irrational drugs use level, promote the clinical rational drug use, improve the medical quality of hospital modernization.