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目的:了解静脉药物调配中心医嘱审核的情况及医嘱单的合理性。方法:汇总所有在日常工作中记录的不合理医嘱信息,根据参考资料及药品说明书,分析不合理医嘱的种类及科室分布。结果:在所有近70万张输液处方中,记录不合理医嘱496条,主要包括溶媒选择不当、药物浓度不当、配伍禁忌、给药频次不当、医嘱录入错误等方面;脑系科、呼吸科分别排在各科不合理医嘱数的第一名和第二名。结论:药师需提高药学服务的质量,配合临床,提高患者静脉用药的安全性。
OBJECTIVE: To understand the veterinary drug order center vetting review and the rationality of medical orders. Methods: Collect all the unreasonable doctor’s orders recorded in daily work, according to reference materials and drug manuals, analyze the types of unreasonable doctor’s orders and departmental distribution. Results: Of all the nearly 700,000 infusion prescriptions, 496 unreasonable doctor orders were recorded, including improper solvent selection, improper drug concentration, incompatibility with drugs, improper dosing frequency and errors in doctor’s orders. Brain and respiratory departments Ranked in the first section of unreasonable medical orders and the second. Conclusion: Pharmacists need to improve the quality of pharmacy services, with clinical and improve the safety of intravenous drug in patients.