目的 對淄博市中心醫(yī)院靜脈用藥調(diào)配科(PIVAS)不合理醫(yī)囑的情況進(jìn)行分析,為臨床合理用藥提供參考。方法 調(diào)取淄博市中心醫(yī)院PIVAS 2012年11月—2015年5月靜脈用藥醫(yī)囑985 982條,對其中不合理醫(yī)囑的藥物使用情況進(jìn)行評價(jià)和分析。結(jié)果 共涉及不合理醫(yī)囑2 018條,約占總醫(yī)囑的0.20%,主要包括配伍不當(dāng)、給藥頻次或間隔不當(dāng)、給藥劑量不當(dāng)或溶媒劑量不合理和溶媒選擇不當(dāng)。結(jié)論 對靜脈用藥醫(yī)囑的審核和干預(yù)可以促進(jìn)合理用藥,審方藥師積極與臨床醫(yī)師溝通,在藥學(xué)服務(wù)中發(fā)揮了積極的作用。

Objective To investigate the irrational medication orders of Pharmacy Intravenous Admixture Service (PIVAS) in Central Hospital of Zibo, and to provide reference for rational drug use. Methods Intravenous medication orders (985 982 cases) in Central Hospital of Zibo from November 2012 to May 2015 were checked, and the irrational medication orders were evaluated and analyzed. Results 2 018 Cases of medication orders were irrational, and accounted for 0.20% of the total, which mainly included improper compatibility, irrational medication frequency, inappropriate administration dosages or unreasonable solvent dosages, inappropriate dosages or concentrations, and inappropriate selection of solvent. Conclusion The periodic check and intervention on the medication orders can promote the clinical rational medication. Active communicating between prescription-checking pharmacists and clinicians has played a positive role in the pharmaceutical service.