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静脉药物配置中心不合理医嘱药师干预情况分析 被引量:6

Analysis of Irrational Medical Orders Examined by Pharmacists at Pharmacy Intravenous Admixture Services
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摘要 目的对静脉药物配置中心审方过程中发现的不合理医嘱情况进行分析及干预,从而促进合理用药。方法统计2014年1月-12月解放军309医院静脉药物配置中心静脉输液医嘱中不合理医嘱,记录并进行分析。结果不合理用药医嘱分5类,分别为用法用量不适宜、配伍禁忌、遴选药物不适宜、给药途径不适宜、其他不适宜,分别占比为54.63%、31.60%、1.13%、4.51%、8.13%。经干预,不合理医嘱在配置前给予纠正率为99%。结论通过药师干预医嘱可及时纠正不合王单用药.为患者根供安全有效的药物治疗. Objective To make analysis and propose intervention with problematic medical orders discovered at pharmacy intravenous admixture services(PIVAS) in order to promote rational use of drugs. Methods Irrational medical orders for intravenous infusion given by PIVAS from Jan 1, 2014 to Dec 31, 2014 were recorded and analyzed. Results Irrational medical orders were divided into five categories: inappropriate usage and dosage, drug incompatibility, inappropriate medicine, inappropriate route of administration and others, and the percentage was 54.63%, 31.60%, 1.13%, 4.51% and 8.13% respectively.After intervention, 99% of the irrational medical orders were rectified before use.Conclusion Irrational drug use can be rectified in time through intervention with medical orders by pharmacists, which can provide patients with safe and effective drug therapies.
作者 申阿春 西娜 刘亚兰 孙丽君 SHEN A-chun,XI Na,LIU Ya-lan,SUN Li-jun (Department of Pharmacy,Hospital 309 of PLA, Beijing 100091,China)
机构地区 解放军
出处 《解放军药学学报》 CAS CSCD 2017年第1期94-95,共2页 Pharmaceutical Journal of Chinese People's Liberation Army
关键词 静脉药物配制中心 不合理医嘱 医嘱干预 pharmacy intravenous admixture services irrational medical order intervention to medical order
作者简介 申阿春,硕士,药师。研究方向:临床药学。Tel:(010)55473130 通讯作者:孙丽君,Tel:(010)55473132
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