摘要: |
目的:统计分析我院住院不合理用药医嘱,为临床合理用药提供参考。方法:对我院2014年1-12月登记在册的不合理医嘱进行统计分析。结果:共有1 236例不合理医嘱。不合理医嘱主要涉及药物剂量不当(占25.00%)、电脑输入错误(占14.00%)、溶媒不当或无溶媒(占11.49%)、药物浓度不当(占8.09%)、出院带药无用法用量(占7.77%)、静脉给药速度不当(占7.61%)、给药频率不当(占3.96%)等。结论:我院住院医嘱存在一定的不合理现象,临床药师通过医嘱审核进行干预,可促进临床合理用药,保障儿童的用药安全。 |
关键词: 不合理医嘱 临床药师 合理用药 |
DOI:doi:10.13407/j.cnki.jpp.1672-108X.2016.01.016 |
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基金项目: |
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Analysis of 1236 Cases of Irrational Medical Advices in Our Hospital |
Yang Zhi, Peng Cuiying, Li Jing, Zhang Haixia, He Limei, He Zhoukang |
(Children Hospital of Hunan Province, Henan Changsha 410007, China) |
Abstract: |
Objective: To analyze statistically the irrational medical advices in our hospital, and provide reference for clinical rational drug use. Methods: The irrational medical advice in our hospital were summarized and analyzed statistically from January to December in 2014. Results: A total of 1,236 irrational medical advices were reviewed. Irrational medical orders mainly contain improper drug dose (25%), computer input errors (14%), improper solvent or without solvent (11.49%), improper drug concentration (8.09%), the amount of drug released with useless method (7.77%), infusion speed (7.61%), improper dosing frequency (3.96%), etc. Conclusion: Some orders are unreasonable in our hospital, the clinical pharmacist intervention by checking medical orders can promote the clinical rational drug using, ensure the drug safety of patients. |
Key words: Irrational medical advices Clinical pharmacists Rational drug use |