某儿童医院2018 年门诊不合理用药医嘱帕累托图分析

目的:分析儿科门诊不合理用药医嘱的情况及原因,为促进临床安全合理用药提供参考。方法:对我院儿科门诊2018 年 847 例不合理用药医嘱进行统计,采用帕累托图分析造成不合理用药的主要、次要及一般原因。结果:不合理用药主要因素:用 量不适宜(40.61%)、给药途径不适宜(26.92%)、给药频次不适宜(12.51%);次要因素:用药与诊断不符(7.56%);一般因素: 电脑输入错误(3.78%)、用药禁忌(3.78%)、重复用药(1.77%)、溶媒不适宜(1.77%)、其他(1.30%)。结论:药师根据不合理 用药类型有针对性地进行干预和药学服务,制定相应的干预措施,对主要因素进行控制,有助于提高合理用药水平。

Pareto Chart of Irrational Medical Orders in Outpatient Department of a Children's Hospital in 2018

Objective: To analyze the situation and reasons of irrational medication orders in pediatric outpatient department, so as to provide reference for promoting clinical rational drug use. Methods: A total of 847 cases of irrational medical orders in pediatric outpatient department of our hospital in 2018 were analyzed. Pareto chart was used to analyze the primary, secondary and general causes of irrational drug use. Results: The primary factors of irrational drug use were inappropriate dosage (40.61%), inappropriate route of administration (26.92%), improper frequency of administration (12.51%). The secondary factors were inconsistency between medication and diagnosis (7.56%). The general factors were computer input error (3.78%), medication contraindication (3.78%), repeated medication (1.77%), inappropriate solvent (1.77%) and others (1.30%). Conclusion: Pharmacists should perform targeted interventions and pharmaceutical services according to the types of irrational drug use, formulate corresponding intervention measures, and control the main factors, which will help to improve the level of rational drug use. Keywords]irrational drug use; Pareto chart; pediatrics