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目的:分析某三甲医院静脉药物配置中心的用药情况,减少不合理用药,保障患者使用静脉药物安全有效。方法选取我院静脉药物配置中心2016年3月至8月的全部医嘱,审核不合理医嘱后,进行分类统计,同时筛选出两个科室的不合理医嘱,进行统计分析。结果 (1)共选取全院医嘱583770份,不合理医嘱共计5954份,其中药物配伍不当占30.38%、给药浓度不当占16.14%、给药方式不当占8.05%、载体选择不当占17.41%、超说明书剂量用药占15.03%、其他占12.98%;(2)两个科室的不合理医嘱的比较:普通腹部外科3-8月各月份不合理医嘱发生率均高于内分泌糖尿病科,各月份两科间的不合理用药发生率的差异均有统计学意义(P<0.05)。结论通过对我院静脉配置中心不合理用药情况的统计与分析,能较全面了解我院的静脉药物使用状况,并通过积极地与医生沟通,促进了临床用药能力的发展,更大得保障了患者静脉用药的合理有效。
Objective: To analyze the medication situation of venous medicine center in a top three hospital, to reduce irrational use of drugs and to ensure the safe and effective use of intravenous drugs in patients. Methods All the orders from March 2016 to August 2016 in our hospital venous drug allocation center were selected. After the unreasonable orders were reviewed, the statistics were classified and the unreasonable medical orders of two departments were screened out for statistical analysis. Results (1) A total of 583,770 hospital orders and 5,954 unreasonable medical orders were selected, among which 30.38% were improperly matched by drugs, 16.14% were improperly administered, 8.05% were administered improperly, 17.41% Super instructions dose accounted for 15.03%, other accounted for 12.98%; (2) Comparison of two departments of unreasonable doctor’s advice: General abdomen surgery March-August monthly unreasonable doctor’s orders were higher than the Department of Endocrinology and Diabetes, each month two Inter-departmental irrational drug use rates were statistically significant (P <0.05). Conclusion Through the statistics and analysis of irrational drug use in our center, we can get a better understanding of the use of intravenous drugs in our hospital and promote the development of clinical drug use capacity through active communication with doctors, Patients with intravenous medication is reasonable and effective.