某院静脉用药配制中心医嘱用药不合理的原因分析及其改进措施

目的:分析医院静脉用药配制中心(PIVAS)医嘱用药不合理的原因及其改进措施.方法:分别抽取2016年前三季度344 952张、339478张、319 756张用药医嘱,统计与分析各季度登记在册的不合理医嘱发生的原因;通过品管圈对不合理医嘱的要因展开“5W1H”调查分析,并针对不合理医嘱产生的原因提出改进措施.结果:2...

Analysis of Unreasonable Causes of Medical Orders Medication in Pharmacy Intravenous Admixture Services of a Hospital and Its Improvement Measures

Objective:To analyze the unreasonable causes of medical orders medication in pharmacy intravenous admixture services(PIVAS)of a hospital and its improvement measures.Methods:In the first 3 Quarters of 2016,344952,339478 and 319756 medical orders were collected respectively,and then the unreasonable causes of medical orders medication recorded in each quarter were counted and analyzed.Through Quality-Control Circle by the way of“5W1H”,the relative improvement measures were proposed.Results:In the first,second and third quarters of 2016,there were 137,136 and 79 unreasonable medical orders,respectively,mainly due to improper solvent selection,inputting error,improper drug concentration and dosage.The corresponding improvement measures were adopted mainly to strengthen the key drugs,off-label drugs,finished product review process,standardizing the process management and reward and punishment system,and improving the intervention of the automatic audit system.By taking effective measures,unreasonable medical orders were decreased from 14.25 to 3.25 per week.Conclusion:The effectiveness and safety of intravenous medication in patients were improved through the effective intervention of unreasonable medical orders.