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目的促进抗肿瘤药物静脉用药的合理性。方法对静脉用药调配中心药师在审核医嘱时发现的抗肿瘤药物不合理用药进行回顾性地分析。结果不合理用药医嘱中选用不合理溶媒占51%,护士不合理执行医嘱占18%,不合理给药方式占15%,不符合药物经济学占9%,不合理给药方案占7%。药师进行临床用药干预后,医生医嘱修改率达98%以上。结论静脉用药调配药师在促进抗肿瘤药物合理用药方面可以发挥重要作用。进一步提高药师审方能力,开展护士用药教育,建立合理用药规范以及医务人员之间的正确沟通至关重要。
Objective To promote the rationality of intravenous antitumor drugs. Methods Retrospective analysis was conducted on the irrational use of antitumor drugs discovered by pharmacists in the center of intravenous drug administration during the examination of doctor’s orders. Unreasonable medication doctor’s orders use 51% of unreasonable solvents, nurses unreasonable implementation of medical orders accounted for 18%, 15% of unreasonable modes of administration, does not meet the pharmaco-economics accounted for 9%, 7% of unreasonable drug programs. Pharmacists for clinical medication intervention, the doctor’s doctor’s order rate of 98% or more. Conclusion Intravenous drug dispensing pharmacists can play an important role in promoting the rational use of anti-cancer drugs. It is of vital importance to further improve the pharmacist’s ability to review the case, educate nurses on drug use, and establish proper medication practices and proper communication among medical staff.