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目的调查评估我院静脉用药调配中心(PIVAS)医嘱的合理性,促进临床合理用药。方法采集PIVAS 2014~2015年不合理医嘱814份进行统计分析。结果不合理医嘱主要涉及溶媒用量(40.3%)和溶媒种类(26.8%)两类,其他尚包括给药剂量(14.7%)、药物配伍(5.8%)、用药频次(5.7%)、给药途径(1.7%)等;药师干预成功率为88.8%。结论药师通过审方干预可以改善不合理医嘱的应用,由此改进和提高医院的合理用药水平。
Objective To investigate and evaluate the rationality of medical prescriptions of PIVAS in our hospital to promote clinical rational use of drugs. Methods We collected 814 cases of unreasonable medical orders from 2014 to 2015 in PIVAS for statistical analysis. The results were unreasonable. The doctor’s orders mainly involved two kinds of solvents (40.3%) and vehicle types (26.8%). The others included dosage (14.7%), drug compatibility (5.8%), medication frequency (1.7%); Pharmacists intervention success rate was 88.8%. Conclusion Pharmacists can improve the application of unreasonable doctor’s advice through the intervened party, so as to improve and enhance the reasonable medication level in the hospital.