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目的分析我院静脉药物集中调配中心的不合理用药情况及原因。方法将本院静脉药物集中调配中心的不合理用药归纳为7类,用帕累托图法,绘制帕累托图,同时分析主要、次要及一般因素。结果造成不合理用药处方的主要因素:药物剂量(浓度)不当和溶媒选择不当;次要因素:药物配伍不合理和医嘱录入错误;一般因素:给药频次、给药途径的不合理和重复用药。结论应制定出相应的干预措施,对主、次要因素进行控制。
Objective To analyze the irrational use of drugs and their causes in the center of intravenous drug concentration in our hospital. Methods Induction of irrational drug use in venous drug concentration center in our hospital was classified into 7 categories. Pareto charts were drawn by Pareto chart method. Major, minor and general factors were also analyzed. As a result, the main factors leading to irrational drug prescriptions were improper dose and improper choice of drugs. Secondary factors: unreasonable drug compatibility and incorrect order entry. General factors: frequency of administration, irrational and repeated administration of the route of administration . Conclusion Corresponding interventions should be worked out to control the primary and secondary factors.