我院静脉药物配置中心不合理医嘱情况分析

Analysis of Unreasonable Medical Prescription in the Pharmacy Intravenous Admixture Service of Our Hospital

摘要: 目的：通过分析2022年我院静脉药物配置中心(Pharmacy Intravenous Admixture Service, PIVAS)在审核处方中所发现的不合理医嘱，为促进临床的静脉药物的合理用药提供数据与依据。方法：选择2022年我院静脉药物配置中心在审核医嘱中所发现的不合理医嘱305条(共408,184条医嘱)，分析数据后进行讨论。结果：通过数据分析得出我院静脉药物不合理医嘱的类别有：药物剂量不适宜，终浓度不适宜，配伍禁忌，溶媒选择不当，重复用药以及其他原因的不规范医嘱。结论：我院静脉用药医嘱中存有一部分不合理医嘱，通过对不合理医嘱的原因分析，为指导临床合理用药提供依据。减少了临床用药不良事件的发生，保障了患者的用药安全。

Abstract: Objective: To provide data and basis for promoting the rational use of intravenous drugs in clinical practice, irrational medical instructions found in pharmacy intravenous admixture service (PIVAS) of our hospital were analyzed in 2022. Methods: 305 unreasonable medical orders (408,184 orders in total) found in the review of medical orders by pharmacy intravenous admixture service of our hospital in 2022 were selected, and the data were analyzed and discussed. Results: According to the data analysis, the categories of unreasonable medical orders of intravenous drugs in our hospital included inappropriate drug dosage, inappropriate final concentration, incompatibility, improper choice of solvent, repeated use of drugs and other reasons of non-standard medical orders. Conclusion: There are some unreasonable medical orders for intravenous drug use in our hospital. Through analyzing the causes of unreasonable medical orders, it can provide the basis for guiding clinical rational drug use. The occurrence of clinical adverse drug events is reduced, and the drug safety of patients is guaranteed.