我院静脉调配中心中药注射剂不合理医嘱分析
(郑州市郑州人民医院药学部,河南郑州 450000)
摘要: 目的分析医院静脉用药调配中心(PIVAS ) 中药注射剂不合理用药医嘱,为临床安全、有效、合理使用中药注射剂提供参考。方法运用美康合理用药软件及药师审核,对我院2015年元月-2015年3月住院患者使用中药注射剂的医嘱进行合理性审核,对不合理医嘱进行统计和分析。结果中药注射剂不合理用药医嘱共2091份,%,主要包括溶剂选择不合理、溶剂用量不合理、超剂量用药、药物配伍不合理、无冲管液、重复用药、临床选药不合理等。结论通过静脉用药调配中心药师对用药医嘱进行审核和干预,可促进临床合理用药。
关键词: 静脉用药调配中心; 中药注射剂;合理用药; 医嘱审核
ABSTRACT OBJECTIVE: To analyze the irrational medical orders of Chinese medicine injections in Pharmacy Intravenous Admixture Services ( PIVAS) for reference of clinical rational administration of Chinese Medicine Injections. METHODS: The long - term intravenous medication orders in ourhospital from January to March 2015 were checked. The Meikang Rational Drug Use Software and the pharmacists check were adopted to conduct the rationality check on the intravenous medication orders and the statistical analysis on the irrational medical : 2091 medication orders were irrational and accounted % of the total medical orders,which mainly included the irrational solvent and the solvent amount,overdosage,drug patibility, non-interval infusion,administration,input error,etc. CONCLUSION: through pharmacists’ checking and intervening of medical orders in rational drug use can be enhance
通过对我院静配中心(PIVAS ) 2015年元月-2015年3月的中药注射剂医嘱进行统计分析,为临床安全、有效、合理使用中药注射剂提供参考。
从我院计算机信息系统中调取 2015年元月-2015年3月静脉用药调配中心注射剂审核医嘱
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