| 魏彩,刘丽萍,梁敏,等.某医院静脉用药调配中心不合理处方分析[J].安徽医药,2020,24(9):1880-1883. |
| 某医院静脉用药调配中心不合理处方分析 |
| Analysis of unreasonable prescriptions in pharmacy intravenous admixture services of a hospital |
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| DOI：10.3969/j.issn.1009-6469.2020.09.047 |
| 中文关键词: 药物处方 输注，静脉内 给药系统，医院 处方不当 静脉用药调配中心 处方审核 高警示药品 合理用药 |
| 英文关键词: Drug prescriptions Infusions,intravenous Medication systems,hospital Inappropriate prescribing Pharmacyintravenous admixture service Prescription review High-alert medication Rational medication use |
| 基金项目:国家自然科学基金( 81472448) |
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| 中文摘要: |
| 目的分析某医院静脉用药调配中心不合理处方，不断提升医院合理用药水平。方法采用回顾性分析方法，从不合理处方的类型、科室分布、高警示药品、发现途径等方面，对安徽医科大学第二附属医院 2015—2018年 13 876组不合理处方进行统计分析。结果总不合理处方占总处方的 0.17%；溶媒规格不当是数量最多的类型，占总不合理处方数的 47.64%；ICU是不合理处方数量最多的科室，占本科室总处方数的 0.92%；高警示药品中非肠道和口服化疗药占比最高，占此类总处方数的 0.53%；审方时发现的最多，占 62.71%；干预成功率为 99.85%。结论审方药师进行用药干预可有效降低不合理处方，提高静脉药物的合理用药水平。 |
| 英文摘要: |
| Objective Toanalyze the unreasonable prescription of Pharmacy Intravenous Admixture Services in our hospital，and constantly improve the level of rational medication use in our hospital. Methods A retrospective analysis method was used to ana-lyze 13 876 unreasonable prescriptions in the Second Affiliated Hospital of Anhui Medical University from 2015 to 2018 from thetypes of unreasonable prescriptions，department distribution，high-alert medication and discovery ways.Results Total unreasonable prescriptions accounted for 0.17% of the total prescriptions；Improper solvent specification was the most common type，accountingfor 47.64% of the total irrational prescriptions；ICU is the department with the largest number of irrational prescriptions，accountingfor 0.92% of the total prescriptions；Among the high-alert medication，non-intestinal and oral chemotherapymedicationaccounted for the highest proportion，accounting for 0.53% of the total prescriptions；Most of them were found in the trial，accounting for 62.71%； The success rate of intervention was 99.85%.Conclusions Medication intervention by prescription-checking pharmacists can effec-tively reduce irrational prescriptions and improve the level of rational use of intravenous medications. |
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