我院PIVAS规范医嘱审核工作实践

发布时间：2018-08-19 19:00

【摘要】：目的:促进静脉用药集中调配中心(PIVAS)医嘱审核工作的规范化。方法:介绍我院PIVAS开展的医嘱审核规范化工作情况,通过比较规范化工作开展前(2016年第二季度)、后(2016年第三季度)药师对不合理医嘱的干预率和医师对药师用药建议的采纳率,评价规范化工作开展的成效。结果:我院PIVAS通过规范审核标准、及时维护和更新药品说明书、建立相关资料库等方法开展了医嘱审核规范化工作,规范化后药师医嘱审核标准一致、依据充分,审核效率提高、审核结果更准确。与规范化工作开展前比较,规范化工作开展后干预率下降[1.41%(308/21 776)vs.0.74%(168/22 750)]、采纳率上升(95.1%vs.98.8%)。结论:我院开展的医嘱审核规范化工作提高了临床医师开具医嘱的合理性及对药师用药建议的接受程度。
[Abstract]:Objective: to promote the standardization of (PIVAS) doctor's order audit in the central intravenous drug dispensing center. Methods: to introduce the standard work of doctor's order audit carried out by PIVAS in our hospital, and to compare the intervention rate of pharmacist to unreasonable doctor's order and the acceptance rate of doctor's advice to pharmacist's medication before (the second quarter of 2016) and after (the third quarter of 2016). To evaluate the effectiveness of standardization work. Results: by standardizing the auditing standard, maintaining and updating the drug instruction in time, and establishing the relevant database, the PIVAS carried out the standardization of the examination of the doctor's orders, and the standard of the examination of the doctor's orders was the same after the standardization, and the basis was sufficient. Improve the efficiency of audit, audit results more accurate. Compared with that before standardization, the intervention rate decreased by 1.4 1% (30 / 21 776) vs.0.74% (168 / 22 750), and the adoption rate increased (95. 1% vs 98. 8%). Conclusion: the standardization of doctor's order audit in our hospital has improved the reasonableness of prescribing doctor's order and the acceptance of pharmacist's suggestion of medication.
【作者单位】：中山大学附属第三医院药学部;
【分类号】：R95

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