CAJ | 학술논문

目的：考察静脉用药调配中心（PIVAS）采取的干预措施对临床科室不合理静脉用药的影响。方法依据药品说明书并结合《处方管理办法》等，对干预前后审核的静脉用药医嘱分类统计并进行分析。结果该院干预后不合理医嘱占0.30%，明显低于干预前的0.58%，同时医生对医嘱的修改率也由58.68%提升到87.99%，PIVAS 采取的干预措施初显成效。结论 PIVAS 通过对医嘱审核的干预，有效地减少了不合理用药现象的产生，保障了患者的用药安全，体现了以患者为中心的药学服务理念。
목적：고찰정맥용약조배중심（PIVAS）채취적간예조시대림상과실불합리정맥용약적영향。방법의거약품설명서병결합《처방관리판법》등，대간예전후심핵적정맥용약의촉분류통계병진행분석。결과해원간예후불합리의촉점0.30%，명현저우간예전적0.58%，동시의생대의촉적수개솔야유58.68%제승도87.99%，PIVAS 채취적간예조시초현성효。결론 PIVAS 통과대의촉심핵적간예，유효지감소료불합리용약현상적산생，보장료환자적용약안전，체현료이환자위중심적약학복무이념。
Objective To investigate the influence of intervention measures adopted by PIVAS on unreasonable intravenous medication in clinical departments. Methods The medical orders of intravenous medication checked before and after intervention were performed the classification statistics and the data analysis according to the package insert combined with the Prescription Administrative Policy. Results The statistical results showed that the irrational medical orders after intervention accounted for 0. 30% , which was significantly lower than 0. 58% before intervention, at the same time doctors' modification rate of medical orders was elevated from 58. 68% to 87. 99% , the intervention measures adopted by PIVAS obtained the initial effect. Conclusion The intervention on medical order checking by PIVAS effectively decreases the produce of irrational drug medication, ensures the patient' s medication safety and embodies the concept of patient - oriented pharmaceutical care.