摘要
目的:对静脉用药调配中心(PIVAS)常见的错误医嘱进行总结和分析,以减少同类用药错误的发生。方法:收集自2003年8月至2011年7月,复旦大学附属中山医院PIVAS药师在审核医嘱时发现的所有错误医嘱,进行分类,选取各类有代表性的错误医嘱进行点评。结果:PIVAS常见的错误医嘱分为6大类,包括配伍禁忌、溶媒选择不当、给药浓度过高、单次给药剂量过高、给药时间间隔错误和全营养混合物(TNA)处方错误。通过医院内部网站通报上述错误医嘱,可减少同类错误的发生。结论:药师审方可有效地拦截错误医嘱,定期通报医嘱点评结果,有利于提高临床安全用药水平。
Objective： To reduce the recurrence of incorrect prescriptions by summarizing and analyzing the common prescription errors in pharmacy intravenous admixture service（PIVAS）. Methods： All of the incorrect prescriptions in PIVAS of Zhongshan Hospital affiliated to Fudan University from August of 2003 to July of 2011 were collected and categorized by phar- macists. Representative errors of each category were analyzed and evaluated. Results： The eomrnon errors were classified into 6 categories, including incompatibility, choosing the wrong dissolvent, drug mixture with too high concentration, over single dose, irrational administration frequency and wrong prescription of total nutrient admixture（TNA）. Similar errors could be re- duced since the above errors were notified on the internal web of this hospital. Conclusion= Pharmacists play an important role in reducing prescription errors. To announce the prescription errors regularly is useful for enhancing the clinical safety medication level.
出处
《药学服务与研究》
CAS
CSCD
2012年第2期100-102,共3页
Pharmaceutical Care and Research
关键词
静脉用药调配中心
医嘱点评
药剂师
合理用药
pharmacy intravenous admixture services
prescription evaluation
pharmacists rational use of drugs
