中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
Evaluation and Analysis of Drug-Use in Hospitals of China
2015年
11期
1526-1528
,共3页
静脉药物配置中心%不合理医嘱%统计分析
靜脈藥物配置中心%不閤理醫囑%統計分析
정맥약물배치중심%불합리의촉%통계분석
Pharmacy intravenous admixture service%Irrational medical orders%Statistical analysis
目的：评价首都医科大学附属北京潞河医院（以下简称“我院”）静脉药物配置中心（ pharmacy intravenous admixture service ， PIVAS）的不合理医嘱情况，为促进临床合理用药提供参考。方法：查阅2014年6—12月我院PIVAS药师审核出的303份不合理医嘱，并进行归类、汇总、分析。结果：我院PIVAS的不合理医嘱主要集中在溶剂选择不合理（占55.12％）和溶剂用法、用量不合理（占15.18％）两方面，所涉及的药品主要是中药注射剂（占33.66％）和抗菌药物（占22.44％）。经药师审核并及时反馈，大部分不合理用药医嘱得以纠正。结论：药师对PIVAS的不合理医嘱进行审核，可促进临床医师合理用药，保障患者用药安全。
目的：評價首都醫科大學附屬北京潞河醫院（以下簡稱“我院”）靜脈藥物配置中心（ pharmacy intravenous admixture service ， PIVAS）的不閤理醫囑情況，為促進臨床閤理用藥提供參攷。方法：查閱2014年6—12月我院PIVAS藥師審覈齣的303份不閤理醫囑，併進行歸類、彙總、分析。結果：我院PIVAS的不閤理醫囑主要集中在溶劑選擇不閤理（佔55.12％）和溶劑用法、用量不閤理（佔15.18％）兩方麵，所涉及的藥品主要是中藥註射劑（佔33.66％）和抗菌藥物（佔22.44％）。經藥師審覈併及時反饋，大部分不閤理用藥醫囑得以糾正。結論：藥師對PIVAS的不閤理醫囑進行審覈，可促進臨床醫師閤理用藥，保障患者用藥安全。
목적：평개수도의과대학부속북경로하의원（이하간칭“아원”）정맥약물배치중심（ pharmacy intravenous admixture service ， PIVAS）적불합리의촉정황，위촉진림상합리용약제공삼고。방법：사열2014년6—12월아원PIVAS약사심핵출적303빈불합리의촉，병진행귀류、회총、분석。결과：아원PIVAS적불합리의촉주요집중재용제선택불합리（점55.12％）화용제용법、용량불합리（점15.18％）량방면，소섭급적약품주요시중약주사제（점33.66％）화항균약물（점22.44％）。경약사심핵병급시반궤，대부분불합리용약의촉득이규정。결론：약사대PIVAS적불합리의촉진행심핵，가촉진림상의사합리용약，보장환자용약안전。
OBJECTIVE:To evaluate the irrational medical orders in the pharmacy intravenous admixture services ( PIVAS) of Beijing Luhe Hospital Affiliated to Capital Medical University ( hereinafter referred to as “our hospital”) , and to provide reference for the promotion of rational drug use in clinic .METHODS: 303 irrational medical orders which were audited by pharmacists in PIVAS of our hospital from Jun .to Dec .2014 were statistically classified , summarized and analyzed .RESULTS:The irrational medical orders were mainly occurred in the inappropriate selection of solvent ( 55.12%) and improper usage or dosage of solvent ( 15.18%) , mainly included traditional Chinese medicine injections ( 33.66%) and antibiotics ( 22.44%) .Most of the irrational medication orders were corrected through the audit and timely feedback of the pharmacists .CONCLUSIONS: Clinical rational drug use and medication safety of the patients could be improved by the audit of irrational medical orders of the pharmacist in PIVAS .
