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目的:分析静脉用药不合理医嘱及干预情况,为临床合理用药提供依据。方法:对我院静脉用药调配中心(PIVAS)2012年1月—2014年9月用药不合理医嘱及干预情况进行统计分析。结果:共审核医嘱356 037份,发现用药不合理医嘱515份,主要包括用法用量、溶媒选择及联合用药不当等问题。干预后,用药不合理医嘱由2012年的0.28%下降到2014年的0.04%。结论:通过对医嘱用药的审核,不合理用药医嘱显著减少。
Objective: To analyze the unreasonable orders and interventions of intravenous drug use, and provide the basis for clinical rational drug use. Methods: The statistical analysis was made on the cases of unreasonable doctor’s orders and interventions of PIVAS from January 2012 to September 2014 in our hospital. Results: A total of 356 037 medical examinations were reviewed and 515 cases of unreasonable medical advice were found. These include dosage, solvent selection and improper combination therapy. After intervention, the number of unreasonable medical orders dropped from 0.28% in 2012 to 0.04% in 2014. Conclusion: Through the examination of prescription medication, the doctor’s advice of unreasonable medication was significantly reduced.