| 王诗惠,李艳娇,张四喜,张永凯.PIVAS审方药师对不合理用药医嘱的干预与分析[J].中国药事,2018,32(3):388-393 |
| PIVAS审方药师对不合理用药医嘱的干预与分析 |
| Intervention and Analysis of Unreasonable Prescriptions by Prescriptionchecking Pharmacists of PIVAS |
| 投稿时间：2017-06-12 |
| DOI：10.16153/j.1002-7777.2018.03.016 |
| 中文关键词: 静脉药物配置中心 审方药师 不合理医嘱 干预 合理用药 |
| 英文关键词: PIVAS prescription-checking pharmacists unreasonable prescription intervention reasonable medication |
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| 中文摘要: |
| 目的：通过静脉药物配置中心（PIVAS）审方药师对吉林大学第一医院内科住院患者不合理医嘱的干预，以保证临床用药更加合理和患者用药更加安全。方法：以2016年5月-9月我院静脉用药集中调配中心内科医嘱作为研究对象，审方药师对不合理医嘱进行分析。结果：在2016年5月-9月，PIVAS内科医嘱共有1047581条，其中不合理医嘱381条，不合理率为0.04%；在不合理医嘱中，干预成功368条，干预成功率为96.59%。不合理医嘱的主要类型包括溶媒选择错误、溶媒用量错误、医嘱录入错误、药品用量错误、药品给药途径错误、配伍禁忌和药物相互作用。结论：我院应加强静脉用药的管理力度，审方药师应提升自身业务能力，有效干预不合理医嘱，保证患者用药合理、安全、有效。 |
| 英文摘要: |
| Objective: To ensure the more reasonable and safer clinical medications for patients through intervention of unreasonable prescriptions of inpatients by prescription-checking pharmacists at the First Hospital of Jilin University. Methods: The unreasonable prescriptions in the department of internal medicine from May, 2016 to September, 2016 were analyzed by prescription-checking pharmacists of PIVAS. Results: The total number of prescriptions in the department of internal medicine from May, 2016 to September, 2016 was 1047581, of which 381 prescriptions were unreasonable and the rate was 0.04%. Among the unreasonable prescriptions, 368 interventions were successful, with a success rate of 96.59%. The unreasonable prescriptions included wrong choice of solvents, wrong amount of solvents, wrong input of the prescriptions, wrong dosage of drugs, wrong route of medications, drug incompatibility and drug interaction. Conclusion: The management of the usage of intravenous drugs in our hospital should be strengthened. The prescription-checking pharmacists should improve their professional abilities so as to effectively intervene the unreasonable prescriptions and to ensure the patients reasonable, safe and effective medication. |
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