2014年1月—2016年8月苏州市立医院静脉用药集中调配中心医嘱不合理用药分析
目的：了解苏州市立医院（以下简称＂该院＂）静脉用药集中调配中心常见医嘱不合理用药情况,规范临床合理用药。方法：收集该院2014年1月—2016年8月静脉用药集中调配中心医嘱,对不合理用药情况进行回顾性统计分析。结果：2014、2015年及2016年1—8月静脉用药集中调配中心分别调配医嘱560 089、587 959、413 877份,用药不合理医嘱分别为107份（占0.019%）、88份（0.015%）、48份（0.011%）,可见医嘱不合理用药率逐年降低;不合理用药医嘱共243份,主要为溶剂选择不合理、给药浓度不合理、药物配伍不合理、超剂量用药、用法与用量不合理等。结论：静脉用药集中调配中...
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| Published in | 中国医院用药评价与分析 Vol. 17; no. 2; pp. 239 - 241 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
南京医科大学附属苏州医院/苏州市立医院西区/苏州科技城医院药剂科,江苏 苏州,215153
2017
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1672-2124 |
| DOI | 10.14009/j.issn.1672-2124.2017.02.031 |
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| Abstract | 目的：了解苏州市立医院（以下简称＂该院＂）静脉用药集中调配中心常见医嘱不合理用药情况,规范临床合理用药。方法：收集该院2014年1月—2016年8月静脉用药集中调配中心医嘱,对不合理用药情况进行回顾性统计分析。结果：2014、2015年及2016年1—8月静脉用药集中调配中心分别调配医嘱560 089、587 959、413 877份,用药不合理医嘱分别为107份（占0.019%）、88份（0.015%）、48份（0.011%）,可见医嘱不合理用药率逐年降低;不合理用药医嘱共243份,主要为溶剂选择不合理、给药浓度不合理、药物配伍不合理、超剂量用药、用法与用量不合理等。结论：静脉用药集中调配中心的建立,有利于药师与临床医师的交流。医师对静脉药物集中调配工作模式的认可度较高,能积极配合药师的处方干预工作,及时修改不合理用药处方。药师审核医嘱,可有效减少不合理用药,最大限度地保证患者用药安全,充分体现了药师的价值。 |
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| AbstractList | R969.3; 目的:了解苏州市立医院(以下简称"该院")静脉用药集中调配中心常见医嘱不合理用药情况,规范临床合理用药.方法:收集该院2014年1月—2016年8月静脉用药集中调配中心医嘱,对不合理用药情况进行回顾性统计分析.结果:2014、2015年及2016年1—8月静脉用药集中调配中心分别调配医嘱560089、587959、413877份,用药不合理医嘱分别为107份(占0.019%)、88份(0.015%)、48份(0.011%),可见医嘱不合理用药率逐年降低;不合理用药医嘱共243份,主要为溶剂选择不合理、给药浓度不合理、药物配伍不合理、超剂量用药、用法与用量不合理等.结论:静脉用药集中调配中心的建立,有利于药师与临床医师的交流.医师对静脉药物集中调配工作模式的认可度较高,能积极配合药师的处方干预工作,及时修改不合理用药处方.药师审核医嘱,可有效减少不合理用药,最大限度地保证患者用药安全,充分体现了药师的价值. 目的：了解苏州市立医院（以下简称＂该院＂）静脉用药集中调配中心常见医嘱不合理用药情况,规范临床合理用药。方法：收集该院2014年1月—2016年8月静脉用药集中调配中心医嘱,对不合理用药情况进行回顾性统计分析。结果：2014、2015年及2016年1—8月静脉用药集中调配中心分别调配医嘱560 089、587 959、413 877份,用药不合理医嘱分别为107份（占0.019%）、88份（0.015%）、48份（0.011%）,可见医嘱不合理用药率逐年降低;不合理用药医嘱共243份,主要为溶剂选择不合理、给药浓度不合理、药物配伍不合理、超剂量用药、用法与用量不合理等。结论：静脉用药集中调配中心的建立,有利于药师与临床医师的交流。医师对静脉药物集中调配工作模式的认可度较高,能积极配合药师的处方干预工作,及时修改不合理用药处方。药师审核医嘱,可有效减少不合理用药,最大限度地保证患者用药安全,充分体现了药师的价值。 |
| Abstract_FL | OBJECTIVE:To investigate the irrational drug use in Pharmacy Intravenous Admixture Service ( PIVAS ) of Suzhou Municipal Hospital ( hereinafter referred to as "the hospital") , so as to standardize the clinical drug use . METHODS:Medical orders in PIVAS from Jan.2014 to Aug.2016 were collected, retrospective analysis was conducted on the irrational drug use .RESULTS:There were 560089 medical orders , 587959 medical orders and 413877 medical orders extracted from 2014, 2015 and Jan.to Aug.2016, the irrational medical orders were respectively 107 (0.019%), 88(0.015%) and 48(0.011%), which indicated that the irrational rate decreased year by year .There were 243 medical orders with irrational drug use , mainly concentrated in irrational selection of solvent , improper drug concentration , irrational compatibility , over dosage and improper medical orders , etc.CONCLUSIONS:The establishment of PIVAS is helpful for the communication between pharmacists and clinicians .The clinicians have the high approval on the work mode of centralized deployment of intravenous drugs , and actively participate the prescription intervention of pharmacists , and adjust irrational prescriptions on time .Medical orders comments from pharmacists can effectively reduce the irrational use of drugs , which maximizes the medication safety of patients and the fully achieves of the value of pharmacists . |
| Author | 王彩云 钱晓萍 |
| AuthorAffiliation | 南京医科大学附属苏州医院／苏州市立医院西区／苏州科技城医院药剂科,江苏苏州215153 |
| AuthorAffiliation_xml | – name: 南京医科大学附属苏州医院/苏州市立医院西区/苏州科技城医院药剂科,江苏 苏州,215153 |
| Author_FL | WANG Caiyun QIAN Xiaoping |
| Author_FL_xml | – sequence: 1 fullname: WANG Caiyun – sequence: 2 fullname: QIAN Xiaoping |
| Author_xml | – sequence: 1 fullname: 王彩云 钱晓萍 |
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| ClassificationCodes | R969.3 |
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| Copyright | Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
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| DocumentTitleAlternate | Analysis on Irrational Drug Use in Pharmacy Intravenous Admixture Service of Suzhou Municipal Hospital from Jan. 2014 to Aug. 2016 |
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| EndPage | 241 |
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| Keywords | 分析 静脉用药调配中心 PIVAS Analysis 不合理用药 Irrational drug use |
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| Notes | WANG Caiyun, QIAN Xiaoping（Dept. of Pharmacy, Suzhou Hospital Affiliated to Nanjing Medical University, the West Department of Suzhou Municipal Hospital, Suzhou Science and Technology City Hospital, Jiangsu Suzhou 215153, China ） PIVAS ; Irrational drug use ; Analysis OBJECTIVE ：To investigate the irrational drug use in Pharmacy Intravenous Admixture Service （PIVAS）of Suzhou Municipal Hospital （hereinafter referred to as ＂the hospital＂）, so as to standardize the clinical drug use. METHODS： Medical orders in PIVAS from Jan. 2014 to Aug. 2016 were collected, retrospective analysis was conducted on the irrational drug use. RESUL3XS ： There were 560 089 medical orders, 587 959 medical orders and 413 877 medical orders extracted from 2014, 2015 and Jan. to Aug. 2016, the irrational medical orders were respectively 107 （0. 019% ）, 88（0. 015% ） and 48（0. 011% ）, which indicated that the irrational rate decreased year by year. There were 243 medical orders with irrational drug use, mainly concentrated in irrational sel |
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| PublicationTitle | 中国医院用药评价与分析 |
| PublicationTitleAlternate | Evaluation and Analysis of Drug-use in Hospitals of China |
| PublicationTitle_FL | Evaluation and Analysis of Drug-Use in Hospitals of China |
| PublicationYear | 2017 |
| Publisher | 南京医科大学附属苏州医院/苏州市立医院西区/苏州科技城医院药剂科,江苏 苏州,215153 |
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| Snippet | 目的：了解苏州市立医院（以下简称＂该院＂）静脉用药集中调配中心常见医嘱不合理用药情况,规范临床合理用药。方法：收集该院2014年1月—2016年8月静脉用药集中调配中心医... R969.3; 目的:了解苏州市立医院(以下简称"该院")静脉用药集中调配中心常见医嘱不合理用药情况,规范临床合理用药.方法:收集该院2014年1月—2016年8月静脉用药集中调配中心医... |
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| SubjectTerms | 不合理用药 分析 静脉用药调配中心 |
| Title | 2014年1月—2016年8月苏州市立医院静脉用药集中调配中心医嘱不合理用药分析 |
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