我院住院医嘱审核1236例不合理用药分析

目的：统计分析我院住院不合理用药医嘱，为临床合理用药提供参考。方法：对我院2014年1-12月登记在册的不合理医嘱进行统计分析。结果：共有1 236例不合理医嘱。不合理医嘱主要涉及药物剂量不当（占25.00%）、电脑输入错误（占14.00%）、溶媒不当或无溶媒（占11.49%）、药物浓度不当（占8.09%）、出院带药无用法用量（占7.77%）、静脉给药速度不当（占7.61%）、给药频率不当（占3.96%）等。结论：我院住院医嘱存在一定的不合理现象，临床药师通过医嘱审核进行干预，可促进临床合理用药，保障儿童的用药安全。

Analysis of 1236 Cases of Irrational Medical Advices in Our Hospital

Objective: To analyze statistically the irrational medical advices in our hospital, and provide reference for clinical rational drug use. Methods: The irrational medical advice in our hospital were summarized and analyzed statistically from January to December in 2014. Results: A total of 1,236 irrational medical advices were reviewed. Irrational medical orders mainly contain  improper drug dose (25%), computer input errors (14%), improper solvent or without solvent (11.49%), improper drug concentration (8.09%),  the amount of drug released with useless method (7.77%), infusion speed (7.61%), improper dosing frequency (3.96%), etc. Conclusion: Some orders are unreasonable in our hospital, the clinical pharmacist intervention by checking medical orders can promote the clinical rational drug using, ensure the drug safety of patients.