中国临床药学杂志

目的评价我院静脉药物医嘱的合理性。方法随机抽取我院静脉药物调配中心(PIVAS)2011年10月-2012年3月静脉输液给药医嘱10 000份,对其中不合理医嘱的药物使用情况进行评价和分析。结果共涉及不合理医嘱322份,其中给药频次/间隔不当87份,剂量不当83份,溶媒选择不当55份,选药不当42份,配伍不当36份,重复用药19份。结论通过药师审核医嘱,可以及时纠正不合理用药的发生,保障患者安全、合理用药。

AIM To analyze rationality of intravenous drug orders in our hospital.METHODS The 10000 intravenous drug orders were selected randomly from October 2011 to March 2012 in pharmacy intravenous admixture service(PIVAS) and the unreasonable drug uses were analyzed.RESULTS The total irrational intravenous drug orders were 322,of which 87 were associated with frequency/space,83 were associated with irrational doses,55 were associated with inappropriate choice of solvents,42 were associated with improper medication,36 were associated with improper compatibility and 19 were associated with repeated drug uses.CONCLUSION Through prescription examination by pharmacists,the irrational drug uses can be corrected timely so as to ensure rational drug use among patients.