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目的分析我院静脉用药医嘱审核中常见的不合理用药问题,为临床安全、有效用药提供参考。方法对我院静脉用药调配中心2011年1月至2012年12月期间审核记录的126条不合理静脉用药医嘱进行统计和分析。结果不合理医嘱包括溶媒选择不合理、用法用量不合理、医嘱输入错误、配伍禁忌等。溶媒选择不合理占比最高(42.1%),主要集中在铂类抗肿瘤药物。结论药师审核用药医嘱,发现问题加以干预,可减少不合理用药发生,确保患者用药安全。
Objective To analyze the common irrational drug use problems in veterinary drug prescription review in our hospital and provide references for clinical safety and effective drug use. Methods Statistical analysis of 126 unreasonable venous medications recorded during the audit from January 2011 to December 2012 in our hospital’s pharmacy dispensing center was conducted. The results of unreasonable medical advice, including the choice of solvent is not reasonable, the amount of unreasonable use, medical advice input errors, such as incompatibility. Solvent selection accounted for the highest proportion of unreasonable (42.1%), mainly in platinum anti-cancer drugs. Conclusion Pharmacists review the medication orders and find out the problems to be intervened to reduce the occurrence of irrational medication and ensure the safety of patients.