我院静脉药物配置中心不合理处方及药师干预分析

发布时间：2018-06-22 19:27

本文选题：静脉药物配置中心 + 处方审核　；参考：《中国药房》2015年20期

【摘要】：目的:为静脉药物的安全、合理使用提供参考。方法:对我院静脉药物配置中心2009-2013年拦截的不合理处方进行统计分析。结果:2009-2013年不合理处方5 802组,占总配置处方数量的0.12%;按原因排名前3位依次为溶剂用量不当、药品超量和溶剂选择不当;按药品类别统计依次为抗菌药物、抗肿瘤药、普通药品与肠外营养液。在药师的干预下,静脉药物不合理处方发生率从2009年的0.169 4%下降至2013年的0.082 8%;下降幅度最大的为用法错误,其后依次为药品超量、频次错误、医嘱开立错误、溶剂用量不当、配伍禁忌以及溶剂选择不当。结论:药师进行用药干预可有效降低不合理处方,显著提高静脉药物的合理用药水平。
[Abstract]:Objective: to provide reference for the safe and rational use of intravenous drugs. Methods: the irrational prescriptions intercepted by intravenous Drug allocation Center in our hospital from 2009 to 2013 were statistically analyzed. Results 5 802 unreasonable prescriptions were made from 2009 to 2013, which accounted for 0.12% of the total number of prescriptions; the top three reasons were improper solvent consumption, excessive dosage of drugs and improper selection of solvents; according to drug category statistics, antimicrobial drugs, antitumor drugs, General medicine and parenteral nutrition solution. Under the intervention of pharmacists, the incidence of irrational prescriptions of intravenous drugs decreased from 0.169 4% in 2009 to 0.082 8% in 2013. The biggest decrease was in usage errors, followed by overdose, frequency errors, wrong prescriptions and improper solvent consumption. Incompatibility and improper solvent selection. Conclusion: pharmacist intervention can effectively reduce irrational prescriptions and significantly improve the level of rational use of intravenous drugs.
【作者单位】：西安交通大学医学院第一附属医院;西安交通大学医学院;
【分类号】：R95

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