%0 Journal Article
%T 我院2021年静脉配置中心不合理医嘱统计与分析
Statistics and Analysis of Unreasonable Medical Orders of Venous Configuration Center in Our Hospital in 2021
%A 何颖
%A 李玮婷
%J Pharmacy Information
%P 29-34
%@ 2160-4452
%D 2023
%I Hans Publishing
%R 10.12677/PI.2023.121005
%X 目的:了解我院不合理医嘱用药情况,规范临床合理用药,为临床用药提供参考依据,以确保临床医师合理用药及患者静脉用药安全有效。方法:通过中山大学孙逸仙纪念医院(以下简称“我院”)静脉配置中心使用的软件系统,提取2021年1月~2021年12月审核的所有输液医嘱,进行回顾性调查分析。结果:在213,944份输液医嘱中,不合理医嘱339份,在不合理医嘱类型中,给药浓度不当132份(占38.94%),溶媒选择不当118份(占34.81%),其他还包括溶媒用量不当、TPN不合理(钾离子、糖胰比)、配伍禁忌等;在不合理医嘱科室分布中,普外科占了40.71%,其次为心胸外科(占23.89%)和儿科血液(11.80%)等;在不合理用药类型中,抗肿瘤药和抗感染药占了多数。结论:我院PIVAS能够有效阻止不合理医嘱的发生,保障医嘱合理性和保证病人用药安全。
Objective: To understand the situation of irrational drug use ordered by doctors in our hospital, standardize rational drug use in clinic, and provide a reference for clinical drug use, so as to ensure rational drug use by clinicians and safe and effective intravenous drug use in patients. Methods: Through the software system used by the Venous Configuration Center of Sun Yat-sen Memorial Hospital of Sun Yat-sen University (hereinafter referred to as “our Hospital”), all transfusion orders reviewed from January 2021 to December 2021 were extracted and analyzed retrospectively. Results: Among 213,944 transfusion orders, 339 were unreasonable medical orders, among the types of unreasonable medical orders, 132 were improper drug concentration (accounting for 38.94%), 118 were improper solvent selection (accounting for 34.81%), and other types included improper solvent dosage, unreasonable TPN (potassium ion, sugar-trypsin ratio), incompatibility, etc. Among the departments with unreasonable medical orders, general surgery accounted for 40.71%, fol-lowed by cardiothoracic surgery (23.89%) and pediatric blood (11.80%). Anti-tumor drugs and anti-infective drugs accounted for the majority of irrational drug use types. Conclusion: PIVAS in our hospital can effectively prevent the occurrence of unreasonable medical orders, ensure the rationality of medical orders and ensure the drug safety of patients.
%K 静脉配置中心,不合理医嘱,合理用药
Venous Configuration Center
%K Unreasonable Medical Orders
%K Rational Drug Use
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=60522