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目的:分析我院静脉药物配置中心(PIVAS)不合理医嘱情况,为促进临床合理用药提供参考。方法:收集并审核PIVAS2013年1~10月静脉输液医嘱,对其中不合理医嘱进行统计分析,并反馈给临床。结果:收集不合理医嘱共323张,不合理医嘱比例为0.03%。包括药物配伍不合理、医生录入错误、医嘱不规范、超剂量或超浓度用药、用药年龄不宜、用药与诊断不符等6个方面。结论:静脉用药不合理医嘱在临床仍存在,具有用药风险,静脉药物配置中心药师通过再审医嘱,避免或减少不合理医嘱的发生,提高临床用药安全性。
Objective: To analyze the situation of irrational medical orders of PIVAS in our hospital and provide references for promoting clinical rational drug use. Methods: We collected and reviewed the IVF orders from January to October 2013 in PIVAS, and analyzed the unreasonable medical orders among them and reported them to the clinic. Results: A total of 323 unreasonable medical orders were collected, and the proportion of unreasonable medical orders was 0.03%. Including the unreasonable compatibility of medicines, doctors input errors, medical advice is not standardized, overdosage or super-concentration medication, medication age should not, medication and diagnosis inconsistent with six aspects. Conclusion: The unreasonable doctor ’s prescription of intravenous drug still exists in the clinic, which has the risk of taking drugs. The pharmacist at the center of intravenous drug allocation can recues the doctor’ s order to avoid or reduce the occurrence of unreasonable doctor ’s orders and improve the safety of clinical medication.