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目的:规范临床用药,确保患者用药的安全和有效性。方法:提取我院HIS系统中外科大楼某日输液给药医嘱12 308份,依据药物使用方法、注意事项等对药物的使用情况进行分析、审核,然后按照配伍禁忌、给药途径不合理、剂量不合理、宜单独使用的药物进行总结和分析。结果:所有医嘱中使用药物的种类最少为1种,最多为13种。不合理医嘱共417份,其中配伍禁忌225份占53.96%,给药途径不合理93份占22.30%,剂量不合理66份占15.83%,药物宜单独使用的33份占7.91%。结论:通过药师详细审核医嘱,可以减少和避免不合理用药的发生,促进临床安全、合理用药。
Objective: To standardize clinical medication and ensure the safety and effectiveness of medication. Methods: A total of 12 308 medical prescriptions were collected from the surgical building in the HIS system of our hospital. The use of drugs was analyzed and audited according to the drug use method and precautions, and then the drugs were contraindicated and the route of administration was unreasonable. The dose Unreasonable drugs should be used alone to summarize and analyze. Results: The minimum number of drugs used in all medical orders is 1 and the maximum is 13. Among them, there were 417 unreasonable medical orders, of which 225 were incompatible with contraindications accounting for 53.96%, 93.30% with unreasonable route of administration, 66.8 with irrational dose of 15.83% and 33 with 7.91% with drug alone. Conclusion: Through detailed examination of doctor ’s orders, pharmacists can reduce and avoid the occurrence of irrational use of drugs, promote clinical safety and rational use of drugs.