摘要
目的:分析医院静脉用药调配中心(pharmacy intravenous admixture service,PIVAS)长期医嘱的点评结果,找出主要的不合理原因,为医院PIVAS的合理用药提供参考。方法:选取2020年12月—2022年6月医院PIVAS 272050条经过药师审核的长期医嘱作为研究资料,分析不合理医嘱的原因类型和典型案例。结果:经药师审核,PIVAS 272050条长期医嘱中共发现不合理医嘱1325条(占0.49%),其中主要的不合理原因为溶媒不适宜(515条,占38.87%)、药物浓度不适宜(298条,占22.49%)、用药频次不适宜(171条,占12.90%)和用药剂量不适宜(142条,占10.72%)。结论:医院PIVAS的长期医嘱用药情况整体较为合理,但仍存在一些不合理用药的情况,主要表现在溶媒选择、药物浓度、用药频次和用药剂量等方面,药师应继续提高专业能力,确保患者的用药安全。
Objective:To analyze the review results of long-term medical orders of the pharmacy intravenous admixture service(PIVAS)of the hospital,and identify the main reasons for irrationality,so as to provide reference for the rational use of drugs in PIVAS of the hospital.Methods:A total of 272050 long-term medical orders reviewed by pharmacists in the hospital PIVAS from December 2020 to June 2022 were selected as the study data,and the types of reasons and typical cases of unreasonable medical orders were analyzed.Results:After review by pharmacists,there were 1325(0.49%)unreasonable medical orders among 272050 long-term medical orders in PIVAS,and the main reasons for unreasonableness included inappropriate solvent(515,38.87%),inappropriate drug concentration(298,22.49%),inappropriate frequency of medication(171,12.90%)and inappropriate dosage(142,10.72%).Conclusion:The long-term medication prescribed by the medical orders in PIVAS of the hospital is generally reasonable,but there is still some irrational use of drugs,mainly manifested in the solvent selection,drug concentration,medication frequency and dosage,etc.Pharmacists should continue to improve their professional ability to ensure the patients’medication safety.
作者
易丹丹
于丛云
宋德令
YI Dan-dan;YU Cong-yun;SONG De-ling(Suzhou Kowloon Hospital,Shanghai Jiao Tong University School of Medicine,Suzhou Jiangsu 215021,China)
出处
《抗感染药学》
2022年第8期1115-1119,共5页
Anti-infection Pharmacy
关键词
静脉用药调配中心
医嘱点评
药师
pharmacy intravenous admixture service(PIVAS)
medical order review
pharmacist
作者简介
易丹丹(1989-),女,主管药师,【电子邮箱】977698095@qq.com
