我院肿瘤药房静脉配置中心不合理医嘱分析.pdfVIP

中国药物应用与监测2012年6月第9卷第3期 Chinese Journal of Drug Application and Monitoring, Vol.9, No.3, June 2012 ·用药分析 · 我院肿瘤药房静脉配置中心不合理医嘱分析 1 1 1 2 （1. 解放军总医院药品保障中心内科药房，北京 100853 ；2. 河北北方学院，河北 张家口 杨亚青 ，裴保香 ，梁 潇 ，李 超 075000 ） [摘要] 目的：为促进抗肿瘤药物临床使用的安全、有效提供参考。方法：利用PASS 系统对我院肿瘤大楼2009 年8 月– 20 10 年10 月在院病人针剂医嘱进行人工审核，对不合理用药现象进行分析和总结。结果：我院肿瘤大楼各病区用药基本合理， 不合理用药主要表现在溶媒不当（33.58% ）、用药量过大或浓度过高（22.5 1% ）、药物配伍禁忌（10.33% ）、用药顺序不合理 （8.86% ）、给药途径错误（2.2 1% ）、操作失误（4.43% ）以及其他方面（18.08% ）。结论：通过定期分析、总结，以药师提示单的 形式及不合理医嘱的汇总形式与病房沟通，可以加强对药物配伍的监控，有效保障用药安全。 [关键词] 静脉药物配置；抗肿瘤药物；医嘱；审核 [ 中图分类号] R969.3 [ 文献标识码] A [文章编号] 1672 – 8157(2012)03 – 0160 – 03 Unreasonable formulary analysis in intravenous allocation center of tumor pharmacy in our hospital 1 1 1 2 YANG Ya-qing , PEI Bao-xiang , LIANG Xiao , LI Chao (1. Department of Pharmaceutical Care, PLA General Hospital, Beijing 100853, China; 2. Hebei North University, Zhangjiakou 075000, China) [ABSTRACT] Objective: To promote safety, efficacy of the antitumor drug use, and provide reference for clinic. Methods: The prescriptions of inj ection from Aug. 2009 to Oct. 20 10 in our hospital were artificially audited and the irrational drug use was analyzed by using PASS system. Results: The drug use in tumor pharmacy of our hospital was basically reasonable, and the irrational drug use was mainly found in the improper solvent (33.58%), high dosage or concentration (22.51%), drug incompatibility ( 10.33%), the improper order of drug use (8.86%), the improper route of administration (2.2 1%), operation error (4.43%) and other problems(18.08%), etc. Conclusion: The communication with ward by pharmacists can strengthen the monitoring of drug compatibility and improve safe drug use. [KEY WORDS] PIVAS; Anticaner drug; Medical order; Audit 恶性肿瘤是严重威胁人类健康的常见病和多发 不予修改的拒绝配置，以打包形式下送至病房。目前 病，化疗是主要