中国药物应用与监测
中國藥物應用與鑑測
중국약물응용여감측
CHINESE JOURNAL OF DRUG APPLICATION AND MONITORING
2013年
4期
215-217
,共3页
谢牧牧%任浩洋%张淼%郭晓辉%王茹
謝牧牧%任浩洋%張淼%郭曉輝%王茹
사목목%임호양%장묘%곽효휘%왕여
医嘱审核%药品说明书%静脉药物配置中心%干预
醫囑審覈%藥品說明書%靜脈藥物配置中心%榦預
의촉심핵%약품설명서%정맥약물배치중심%간예
Order examination%Drug instruction%PIVAS%Intervention
目的:调查我院老年病区药房审核PIVAS医嘱情况,以及对不合理医嘱进行干预的情况。方法:对我院老年病区药房2010年10月–2011年12月静脉药物配置中心297335条医嘱进行实时审核,并对不合理或不合格医嘱通过电话告知和联络信沟通的方式进行干预,对审核结果和干预情况进行统计分析。结果:共审核出3256条不合理或不合格医嘱,占全部医嘱的1.1%,主要涉及配伍禁忌、药量-溶媒量不适宜、溶媒种类不适宜、加液量不适宜和营养袋标识不适宜5类问题,其中,干预成功878条医嘱,平均干预成功率为27.0%,不合理或不合格医嘱多出现于心血管内科。结论:通过医嘱审核,静脉用药医嘱得到了有效规范,药师在提高静脉用药合理性和适宜性、保障患者用药安全方面发挥了重要作用,但对临床特殊给药方案的审核和干预方法仍需进一步探索。
目的:調查我院老年病區藥房審覈PIVAS醫囑情況,以及對不閤理醫囑進行榦預的情況。方法:對我院老年病區藥房2010年10月–2011年12月靜脈藥物配置中心297335條醫囑進行實時審覈,併對不閤理或不閤格醫囑通過電話告知和聯絡信溝通的方式進行榦預,對審覈結果和榦預情況進行統計分析。結果:共審覈齣3256條不閤理或不閤格醫囑,佔全部醫囑的1.1%,主要涉及配伍禁忌、藥量-溶媒量不適宜、溶媒種類不適宜、加液量不適宜和營養袋標識不適宜5類問題,其中,榦預成功878條醫囑,平均榦預成功率為27.0%,不閤理或不閤格醫囑多齣現于心血管內科。結論:通過醫囑審覈,靜脈用藥醫囑得到瞭有效規範,藥師在提高靜脈用藥閤理性和適宜性、保障患者用藥安全方麵髮揮瞭重要作用,但對臨床特殊給藥方案的審覈和榦預方法仍需進一步探索。
목적:조사아원노년병구약방심핵PIVAS의촉정황,이급대불합리의촉진행간예적정황。방법:대아원노년병구약방2010년10월–2011년12월정맥약물배치중심297335조의촉진행실시심핵,병대불합리혹불합격의촉통과전화고지화련락신구통적방식진행간예,대심핵결과화간예정황진행통계분석。결과:공심핵출3256조불합리혹불합격의촉,점전부의촉적1.1%,주요섭급배오금기、약량-용매량불괄의、용매충류불괄의、가액량불괄의화영양대표식불괄의5류문제,기중,간예성공878조의촉,평균간예성공솔위27.0%,불합리혹불합격의촉다출현우심혈관내과。결론:통과의촉심핵,정맥용약의촉득도료유효규범,약사재제고정맥용약합이성화괄의성、보장환자용약안전방면발휘료중요작용,단대림상특수급약방안적심핵화간예방법잉수진일보탐색。
Objective: To investigate and analyze the examination and intervention of irrational orders of PIVAS in geriatric department of our hospital. Methods:A total of 297 335 orders of PIVAS collected from October 2010 to December 2011 were examined. The irrational and the unqualified orders were intervened by telephone and communication letters. Intervention on the audit results were analyzed. Results: Totally 3256 orders were unreasonable or unqualified, accounting for 1.1%of all orders, mainly related to incompatibility, the dose-solvent quantity, solvent species, inappropriate dosing, identification on the nutrition bag, etc. There were 878 successful intervention orders with an average success rate of 27.0%. Unreasonable or unqualified orders were mostly in cardiovascular medicines. Conclusion:The standard of the orders of PIVAS was promoted by the audit according to drug instructions. Pharmacists played an important role in improving the rationality and suitability of drug use and ensuring the safety of the patients. However, the audit and intervention methods for the special administration still need to be explored further.