【摘要】 目的:探索针对不合理医嘱的有效干预途径,提高我院合理用药水平。方法:回顾性分析我院静脉药物配置中心(PIV-AS)2011年2-8月静脉输液医嘱50466份,药师依据药物说明书等资料对不合理医嘱进行归纳整理,并采取打电话沟通等方式进行干预。结果:PIVAS不合理医嘱共294份,其中溶媒选择不合理136份(占46.3%);给药剂量不合理94份(占32.0%);药物配伍不合理53份(占18.0%);给药方式不合理24份(占8.2%);重复给药3份(占1.0%)。干预后,不合理医嘱由0.61%下降为0.18%,修改率为99.0%。结论:药师在医嘱未执行前对其进行审核把关,并对不合理医嘱进行干预,有效减少了不合理用药现象,提高了合理用药水平。更多还原

【Abstract】 OBJECTIVE:To explore effective path to intervene in irrational prescriptions and to promote rational drug use in our hospital. METHODS:50 466 prescriptions of intravenous infusion were analyzed retrospectively in PIVAS of our hospital from Feb. to Aug. in 2011. The effects of clinical pharmacist’s intervention by telephone on irrational prescription were investigated before the implementation of prescription;irrational prescriptions were analyzed statistically according to package inserts and so on. RESULTS:Of total 294 irrational prescriptions,the main problems were irrational solvent in 136 cases(46.3%) ,wrong drug dose in 94 cases(32.0%) ,unreasonable drug compatibility in 53 cases(18.0%) ,inappropriate route of administration in 24 cases(8.2%) ,repeated drug delivery in 3 cases(1.0%) . After intervention,the proportion of irrational prescriptions decreased from 0.61% to 0.18%,and the proportion of modification was 99.0%. CONCLUSION:The pharmacists check prescription in advance and intervene in irrational prescription to reduce irrational drug use effectively and improve rational drug use.更多还原