摘要
目的:通过对本院静脉用药调配中心(pharmacy intravenous admixture services,PIVAS)不合理用药医嘱进行分析和干预,为临床合理用药提供参考。方法:采用自主开发的医嘱审核软件及人工审核相结合的方式,以2018年10月-2019年3月本院静脉用药调配中心长期用药医嘱作为研究对象,对不合理用药医嘱进行统计分析和干预。结果:选取2018年10月-2019年3月本院PIVAS长期用药医嘱数473530组,其中不合理医嘱数732组,占所有审核医嘱的0.15%。不合理医嘱主要类型包括:给药浓度不当、溶媒种类选择不当、给药剂量不当、给药频次不当、重复用药等。2019年第一季度不合理医嘱总数比2018年第四季度下降,差异有统计学意义(χ^2=5.885,P=0.015)。结论:该院PIVAS通过进一步加强对不合理用药医嘱分析和干预,提高了该院静脉用药的安全性和合理性。
Objective:Through the analysis and intervention of unreasonable medicine prescription of pharmacy intravenous admixture services(PIVAS)in our hospital,it can provide reference for rational drug use in clinic.Method:From October 2018 to March 2019,the long-term medical treatment of PIVAS in our hospital was used as the research object.The analysis irrational medical advice and intervention on unreasonable medical orders were conducted.Result:From October 2018 to March 2019,473530 groups of PIVAS long-term medical orders in our hospital were selected,among which 732 were unreasonable orders,accounting for 0.15%of all examined orders.The main types of unreasonable medical advice include:improper drug concentration,improper choice of solvent type,improper dosage,improper frequency,repeated use,et al.The total number of unreasonable medical orders in the first quarter of 2019 decreased compared with the fourth quarter of 2018,with a statistically significant difference(χ^2=5.885,P=0.015).Conclusion:PIVAS in our hospital further strengthened the analysis and intervention of irrational medication orders to improve the safety and rationality of intravenous medication in our hospital.
作者
李燕华
李仲昆
梁月琴
拔普俊
赵方允
LI Yanhua;LI Zhongkun;LIANG Yueqin;BA Pujun;ZHAO Fangyun(Affiliated Yan’an Hospital of Kunming Medical University,Kunming 650051,China)
出处
《中国医学创新》
CAS
2020年第8期168-172,共5页
Medical Innovation of China
关键词
静脉用药调配中心
不合理用药医嘱
合理用药
Pharmacy intravenous admixture services
Irrational medical advice
Rational use of drugs
作者简介
通信作者:赵方允。
