| Objective To discuss the irrational use of intravenous prescriptions for inpatients reviewed by a hospital prescriptionpharmacist and to provide a reference for the rational clinical use of drugs.Methods A total of 906 irrational prescriptions intercepted by prescription-checking pharmacists from January to May 2020 were collected, and a Pareto chart was drawn to explore their departmental distribution and influencing factors.Results There were 906 irrational prescriptions distributed in 23 clinical units of the hospital, and the top 10 irrational prescriptions were in general surgery, internal oncology, internal neurology, respiratory medicine, chest(thoracic surgery and oral medicine), interventional medicine, intensive care, internal cardiology, neurosurgery, and wake-up center,which together accounted for 77.15% (699/906) of the total number of irrational prescriptions and were the main departments of irrational prescriptions. The cumulative composition ratio of hyperbaric oxygen, nephrology, general practice, and gynecology was between80% and 90%, which were minor departments. The types of irrational prescriptions consisted of 9 categories, including inappropriate concentration, inappropriate solvents, incorrect entries, inappropriate prescriptions, inappropriate combinations, and inappropriate frequency of administration. Among them, inappropriate concentrations of drugs and inappropriate solvents of medical advice together accounted for 79.59% (721/906) of the total number of irrational prescriptions, which was the main form of irrationality. The cumulative composition ratio of recorded wrong medical advice was 90.85%, which was the secondary form of presentation.Conclusion This hospital should strengthen the intervention of irrational prescriptions in pharmacy intravenous admixture services and actively play the role of prescription-checking pharmacists to reduce the incidence of irrational prescriptions. |
