责任药师在静脉药物配置中心不合理医嘱干预中的作用

发布时间：2018-03-27 05:33

本文选题：静脉药物配置中心　切入点：责任药师　出处：《中国药房》2015年29期

【摘要】：目的:探讨责任药师在静脉药物配置中心(PIVAS)不合理医嘱干预中的作用,促进临床合理用药。方法:回顾性分析我院PIVAS 2012年1-6月501 115份医嘱及建立责任药师制度并进行干预后的2013年7-12月499 189份医嘱,对不合理医嘱进行整理分类和归纳分析。结果:干预前不合理医嘱共918份(0.183 2%),干预后不合理医嘱下降为448份(0.089 7%)。其中,溶剂选择不合理医嘱由134份(0.026 7%)下降为69份(0.013 8%),溶剂体积不合理医嘱由435份(0.086 8%)下降为206份(0.041 3%),给药剂量不合理医嘱由241份(0.048 1%)下降为117份(0.023 4%),配伍不合理医嘱由51份(0.010 2%)下降为28份(0.005 6%),给药频次不合理医嘱由17份(0.003 4%)下降为2份(0.000 4%)。结论:责任药师干预静脉用药不合理医嘱效果明显,提高了临床合理用药水平,保障了患者用药安全。
[Abstract]:Objective: to explore the role of responsible pharmacists in the intervention of unreasonable doctor's orders in intravenous Drug allocation Center (IVAS). Methods: a retrospective analysis of 501,115 medical orders and 499,189 medical orders from July to December 2013 in PIVAS of our hospital from January to June, 2012, and the establishment of a responsible pharmacist system were carried out to promote rational use of drugs in clinical practice. Results: a total of 918 unreasonable medical orders were collected and analyzed before intervention, and after intervention, the number of unreasonable orders decreased to 448 / 0.089 / 7. among them, the number of unreasonable medical orders before intervention was 0.183 / 0.183 / 0.183 / 0.183 / 0.183 respectively, and the number of unreasonable medical orders decreased to 448 / 0.089 / 7a after intervention. The number of unreasonable choice of solvent decreased from 134 to 0.026 772) to 69 to 0.013 8, the volume of solvent to 206 from 435 to 0.0868, and the amount of medication to 117 from 241 to 0.023 4. From 51 (0.010 2) to 28 (0.005 6), the frequency of administration was decreased from 17 (0.003 4) to 2 (0.000 4). Conclusion: the effect of intervention by responsible pharmacists on irrational prescriptions of intravenous medication is obvious. It improves the level of rational drug use in clinic and ensures the safety of drug use in patients.
【作者单位】：西安交通大学医学院第一附属医院;
【分类号】：R95

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